Provider Demographics
NPI:1467784819
Name:JONES, TERRAH DAWN (RN)
Entity Type:Individual
Prefix:MRS
First Name:TERRAH
Middle Name:DAWN
Last Name:JONES
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 1:6036 COUNTY ROUTE 69
Mailing Address - Street 2:
Mailing Address - City:CANISTEO
Mailing Address - State:NY
Mailing Address - Zip Code:14823-9683
Mailing Address - Country:US
Mailing Address - Phone:607-698-9911
Mailing Address - Fax:
Practice Address - Street 1:6036 COUNTY ROUTE 69
Practice Address - Street 2:
Practice Address - City:CANISTEO
Practice Address - State:NY
Practice Address - Zip Code:14823-9683
Practice Address - Country:US
Practice Address - Phone:607-698-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY480492163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health