Provider Demographics
NPI:1689636102
Name:JONIDES, LINDA KAY (RN CPNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KAY
Last Name:JONIDES
Suffix:
Gender:F
Credentials:RN CPNP
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Mailing Address - Street 1:3555 STANTON CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-3032
Mailing Address - Country:US
Mailing Address - Phone:734-995-2932
Mailing Address - Fax:734-994-7157
Practice Address - Street 1:911 BROWN ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-3203
Practice Address - Country:US
Practice Address - Phone:734-769-3702
Practice Address - Fax:734-769-2075
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704108391208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics