Provider Demographics
NPI:1386656858
Name:JONES, HILARIE (APRN)
Entity Type:Individual
Prefix:MS
First Name:HILARIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 WEST MIDDLE TPKE.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:08040
Mailing Address - Country:US
Mailing Address - Phone:860-646-3814
Mailing Address - Fax:860-649-5219
Practice Address - Street 1:483 WEST MIDDLE TPKE.
Practice Address - Street 2:SUITE 300
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:08040
Practice Address - Country:US
Practice Address - Phone:860-646-3814
Practice Address - Fax:860-649-5219
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001194363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004238186Medicaid
CT004238186Medicaid
CT500000065Medicare PIN