Provider Demographics
NPI:1225596406
Name:CONNOR, JAMILA JACINTHA (RN)
Entity Type:Individual
Prefix:MS
First Name:JAMILA
Middle Name:JACINTHA
Last Name:CONNOR
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:PO BOX 302254
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-2254
Mailing Address - Country:US
Mailing Address - Phone:340-513-7632
Mailing Address - Fax:
Practice Address - Street 1:SCHNEIDER REGIONAL MEDICAL CENTER
Practice Address - Street 2:9048 SUGAR ESTATE
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00803-0080
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2320611163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care MedicineGroup - Single Specialty