Provider Demographics
NPI:1457002214
Name:JONES, LACEY MARIE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LACEY
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:LACEY
Other - Middle Name:MARIE
Other - Last Name:YAREMCHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:380 SUMMIT AVENUE
Mailing Address - Street 2:MSO PHYSICIAN BILLING
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7597
Mailing Address - Fax:740-283-7807
Practice Address - Street 1:82424 CADIZ JEWETT RD
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-9427
Practice Address - Country:US
Practice Address - Phone:740-320-4048
Practice Address - Fax:740-652-6457
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0030288363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily