Individual
SUSAN J JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
Mailing address
PO BOX 23400, GREEN BAY, WI 54305-3400
(920) 445-7226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
87073-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44346000
—
WI
Enumeration date
07/17/2006
Last updated
01/05/2016
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