Provider Demographics
NPI:1033285747
Name:JONES, JENNIFER L (RN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:190 CONGRESS PARK DRIVE
Mailing Address - Street 2:SUITE 180
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-338-3322
Mailing Address - Fax:561-274-4211
Practice Address - Street 1:190 CONGRESS PARK DR
Practice Address - Street 2:SUITE 180
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4706
Practice Address - Country:US
Practice Address - Phone:561-338-3322
Practice Address - Fax:561-274-4211
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1370592163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant