Provider Demographics
NPI:1114350030
Name:JONES, MARIJANE MORRIS (RN)
Entity Type:Individual
Prefix:
First Name:MARIJANE
Middle Name:MORRIS
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 1:2311 NE 27TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-2234
Mailing Address - Country:US
Mailing Address - Phone:206-714-6925
Mailing Address - Fax:425-902-1895
Practice Address - Street 1:2311 NE 27TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-2234
Practice Address - Country:US
Practice Address - Phone:206-714-6925
Practice Address - Fax:425-902-1895
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00048524163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health