Provider Demographics
NPI:1033663059
Name:JONES, CHELSEY (RN)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 FOREST ST
Mailing Address - Street 2:PO BOX 89
Mailing Address - City:LISBON
Mailing Address - State:ND
Mailing Address - Zip Code:58054-4136
Mailing Address - Country:US
Mailing Address - Phone:701-683-6145
Mailing Address - Fax:701-683-6168
Practice Address - Street 1:404 FOREST ST
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:ND
Practice Address - Zip Code:58054-4136
Practice Address - Country:US
Practice Address - Phone:701-683-6145
Practice Address - Fax:701-683-6168
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR34403163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse