Doctor Name: | VANNETTE MACHELLE JONES |
NPI Number: | 1609040070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 134374 |
Business Practice Address: | 4318 Bath Edie Rd Hephzibah, GA - 308155594 |
Business Phone Number: | 7065925765 |
Business Fax Number: | |
Mailing Address: | 4318 Bath Edie Rd, HEPHZIBAH |
State: | GA |
Postal Code: | 308155594 |
Phone Number: | 7065925765 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0500X |
License Number: | 134374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hemodialysis |
Taxonomy Definition: |