Provider Demographics
NPI:1093142606
Name:RITCHIE, JONELLE ELIZABETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:JONELLE
Middle Name:ELIZABETH
Last Name:RITCHIE
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 1:255 GROS BLVD
Mailing Address - Street 2:HERKIMER ELEMENTARY SCHOOL
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350
Mailing Address - Country:US
Mailing Address - Phone:315-866-8562
Mailing Address - Fax:
Practice Address - Street 1:255 GROS BLVD
Practice Address - Street 2:HERKIMER ELEMENTARY SCHOOL
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350
Practice Address - Country:US
Practice Address - Phone:315-866-8562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6447513747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider