Organization Name: | SUSAN J JONES, ARNP MSN PLLC |
NPI Number: | 1316268584 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN J JONES (PRACTICTIONER) |
Mailing Address: | 5548 Myrtle Ave Ste 201 Freeland |
State: | WA US |
Postal Code: | 982498776 |
Phone Number: | 3603313391 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2010 |
NPI Last Update Date: | 06/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP300007783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |