Provider Demographics
NPI:1093185340
Name:JONES, PATRICE MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:PATRICE
Middle Name:MARIE
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 1:319 BEACH 98TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694-2812
Mailing Address - Country:US
Mailing Address - Phone:917-331-2892
Mailing Address - Fax:718-474-2059
Practice Address - Street 1:20 JERUSALEM AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4980
Practice Address - Country:US
Practice Address - Phone:516-326-2020
Practice Address - Fax:516-719-7373
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY699793163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse