Individual
MRS. NICHOLE LYNN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6220
(304) 388-3286
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6220
(304) 388-3286
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN55727-CRNA
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004346
—
WV
01
—
PO0289733
RR MEDICARE
WV
Enumeration date
09/20/2006
Last updated
07/09/2019
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