Provider Demographics
NPI:1639347107
Name:JONES, SUSAN GERMAINE (RN, APRN, MSN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:GERMAINE
Last Name:JONES
Suffix:
Gender:F
Credentials:RN, APRN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 ROYAL OAK DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906
Mailing Address - Country:US
Mailing Address - Phone:910-581-3317
Mailing Address - Fax:
Practice Address - Street 1:975 GARDEN OF THE GODS ROAD
Practice Address - Street 2:SUITE E
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907
Practice Address - Country:US
Practice Address - Phone:719-694-8782
Practice Address - Fax:719-694-9375
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0003905-NP363LF0000X
CA21459363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily