Provider Demographics
NPI:1518157221
Name:JONES-HO, KELLYE O (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KELLYE
Middle Name:O
Last Name:JONES-HO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ANNAMARIE CT
Mailing Address - Street 2:
Mailing Address - City:WOOLWICH TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-3095
Mailing Address - Country:US
Mailing Address - Phone:856-467-2344
Mailing Address - Fax:
Practice Address - Street 1:4 ANNAMARIE CT
Practice Address - Street 2:
Practice Address - City:WOOLWICH TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08085-3095
Practice Address - Country:US
Practice Address - Phone:856-467-2344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN354634L163WP0200X
NJ26NR10373800163WP0200X
PASP009571363LP0200X
NJ26NJ00172900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics