Provider Demographics
NPI:1467696179
Name:JONES, DAWN M (LPN)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3046 S 47TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53219-3434
Mailing Address - Country:US
Mailing Address - Phone:414-940-0775
Mailing Address - Fax:414-921-1820
Practice Address - Street 1:3046 S 47TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53219-3434
Practice Address - Country:US
Practice Address - Phone:414-940-0775
Practice Address - Fax:414-921-1820
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI308097-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse