Provider Demographics
NPI:1710249511
Name:JONES, SUZANNE ZIMMERMANN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:ZIMMERMANN
Last Name:JONES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:ZIMMERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2015 SPRING RD
Mailing Address - Street 2:STE 300
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-3944
Mailing Address - Country:US
Mailing Address - Phone:630-725-2700
Mailing Address - Fax:
Practice Address - Street 1:10440 LITTLE PATUXENT PKWY STE 820
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3569
Practice Address - Country:US
Practice Address - Phone:410-715-7340
Practice Address - Fax:410-715-7341
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR083493363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health