Provider Demographics
NPI:1619672706
Name:JONES, UCHENNA
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:UCHENNA
Other - Middle Name:
Other - Last Name:ORAEDU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:4711 JENEWEIN RD APT 208
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-4798
Mailing Address - Country:US
Mailing Address - Phone:608-239-9668
Mailing Address - Fax:
Practice Address - Street 1:4711 JENEWEIN RD APT 208
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-4798
Practice Address - Country:US
Practice Address - Phone:608-239-9668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI168383-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse