Provider Demographics
NPI:1841685005
Name:JONES, STEPHANIE A (DO, MS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:DO, MS
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Other - First Name:
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Mailing Address - Street 1:1155 MILL ST # MCM14
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-7205
Practice Address - Street 1:10085 DOUBLE R BLVD STE 325B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-4832
Practice Address - Country:US
Practice Address - Phone:775-982-2280
Practice Address - Fax:775-982-7205
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVDO2561208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
14417737OtherCAQH