Provider Demographics
NPI:1013577550
Name:JONES, LOUISE (DNP, RN, FNP, CCRN,)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:DNP, RN, FNP, CCRN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11138 DEL AMO BLVD # 178
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-1103
Mailing Address - Country:US
Mailing Address - Phone:714-317-0913
Mailing Address - Fax:
Practice Address - Street 1:4763 CANEHILL AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-2411
Practice Address - Country:US
Practice Address - Phone:714-317-0913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA706869163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice