Provider Demographics
NPI:1093875155
Name:JONES, WENDY B (NP)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:B
Last Name:JONES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:B
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:5735 E WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-1951
Mailing Address - Country:US
Mailing Address - Phone:480-945-6583
Mailing Address - Fax:480-945-0359
Practice Address - Street 1:10617 N HAYDEN RD # B102
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5685
Practice Address - Country:US
Practice Address - Phone:480-420-0722
Practice Address - Fax:480-454-1650
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN079581163WW0101X
AZAP7125363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ385693OtherAHCCCS
AZZ123655Medicare PIN