Doctor Name: | LAURIE J JONES |
NPI Number: | 1992015788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 71003380A |
Business Practice Address: | 600 Legacy Plaza East Laporte, IN - 463505268 |
Business Phone Number: | 2199211444 |
Business Fax Number: | 2199215303 |
Mailing Address: | 601 Gateway Blvd N, CHESTERTON |
State: | IN |
Postal Code: | 463049658 |
Phone Number: | 2199211444 |
Fax Number: | 2199210533 |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71003380A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |