Doctor Name: | JENNIFER JONES |
NPI Number: | 1023413911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | IBCLC |
License Number: | 1131419 |
Business Practice Address: | 230 Chadwick Dr Paducah, KY - 420038523 |
Business Phone Number: | 2703662233 |
Business Fax Number: | |
Mailing Address: | 230 Chadwick Dr, PADUCAH |
State: | KY |
Postal Code: | 420038523 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/04/2014 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 1131419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |