Doctor Name: | DELROSE D JONES |
NPI Number: | 1063493666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | 666033 |
Business Practice Address: | 191 Theater Rd Onalaska, WI - 546508679 |
Business Phone Number: | 6083925702 |
Business Fax Number: | 6083925789 |
Mailing Address: | 800 West Ave S, LA CROSSE |
State: | WI |
Postal Code: | 546018806 |
Phone Number: | 6083924718 |
Fax Number: | 6083929518 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 666033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |