Provider Demographics
NPI:1235632308
Name:JONES, CHRISTY MARIE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33820 WEYERHAEUSER WAY S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98001-9617
Mailing Address - Country:US
Mailing Address - Phone:253-517-4300
Mailing Address - Fax:
Practice Address - Street 1:33820 WEYERHAEUSER WAY S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98001-9617
Practice Address - Country:US
Practice Address - Phone:253-517-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY56008163WC0400X
OH448477163WC0400X
NE85991163WC0400X
ARR106370163WC0400X
WARN60042957163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management