Provider Demographics
NPI:1568808871
Name:STONE-ZIPSE JONES, ALICIA MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:MARIE
Last Name:STONE-ZIPSE JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:MARIE
Other - Last Name:STONE-ZIPSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:3343 SPRINGHILL DR STE 3010
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2932
Mailing Address - Country:US
Mailing Address - Phone:501-955-2741
Mailing Address - Fax:
Practice Address - Street 1:12333 NE 130TH LN STE TAN 110
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7467
Practice Address - Country:US
Practice Address - Phone:425-285-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61140472207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200551430AMedicaid