Individual
CHANTELLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-5599
(508) 856-8329
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2320660
MA
363LA2100X
Acute Care Nurse Practitioner
RN2320660
MA
Other
Enumeration date
11/09/2020
Last updated
09/28/2021
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