Provider Demographics
NPI:1598168254
Name:GLYN-JONES, CATHERINE PHOEBE (RN, IBCLC, RLC, ANLC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:PHOEBE
Last Name:GLYN-JONES
Suffix:
Gender:F
Credentials:RN, IBCLC, RLC, ANLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 PAULSEN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4804
Mailing Address - Country:US
Mailing Address - Phone:912-544-6387
Mailing Address - Fax:
Practice Address - Street 1:5301 PAULSEN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4804
Practice Address - Country:US
Practice Address - Phone:912-544-6387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN138513163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse