Individual
ELLA JONES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 SUPERIOR AVE, MUNSTER, IN 46321
(219) 934-5300
Mailing address
701 SUPERIOR AVE, MUNSTER, IN 46321
(219) 934-5300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28062526A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
487702505*001
ANTHEM
IN
Enumeration date
05/24/2006
Last updated
07/08/2007
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