Individual
SHANNON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1331
Mailing address
112 ELDER AVE, RIVERSIDE, RI 02915-3756
(219) 617-1679
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPP37769
RI
Other
Enumeration date
06/17/2013
Last updated
02/06/2015
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