Provider Demographics
NPI:1346602281
Name:JONES, VALERIE (RN)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ANNE
Other - Last Name:CHRISTIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, MED
Mailing Address - Street 1:468 E HIGHWAY 81
Mailing Address - Street 2:
Mailing Address - City:BURLEY
Mailing Address - State:ID
Mailing Address - Zip Code:83318-5400
Mailing Address - Country:US
Mailing Address - Phone:208-431-8255
Mailing Address - Fax:
Practice Address - Street 1:911 SOUTH HIGHWAY 30
Practice Address - Street 2:OATS FAMILY CENTER
Practice Address - City:HEYBURN
Practice Address - State:ID
Practice Address - Zip Code:83336
Practice Address - Country:US
Practice Address - Phone:208-679-2273
Practice Address - Fax:208-679-3368
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID26-1301778261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDN-21450OtherIDAHO BOARD OF NURSING