Individual
LISA A. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-1867
(215) 590-5824
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN516945L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175916EJL
MEDICARE PTAN
PA
Enumeration date
10/11/2006
Last updated
04/11/2013
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