Individual
MRS. JOAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
15 MEMORIAL DR, MILLER PLACE, NY 11764-2802
(631) 474-2481
(631) 331-4093
Mailing address
15 MEMORIAL DR, MILLER PLACE, NY 11764-2802
(631) 474-2481
(631) 331-4093
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
324270-1
NY
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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