Individual
MRS. ARDELLA M JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PENN PLZ FL 8, NEW YORK, NY 10119-0899
(917) 576-4076
Mailing address
554 WARBURTON AVE, YONKERS, NY 10701-1832
(914) 965-5641
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
304010
NY
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
MJ1144423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02662426
—
NY
Enumeration date
09/17/2006
Last updated
07/28/2015
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