Provider Demographics
NPI:1770673774
Name:FARANO, JONESSA (RN, MSN, APRN)
Entity Type:Individual
Prefix:
First Name:JONESSA
Middle Name:
Last Name:FARANO
Suffix:
Gender:F
Credentials:RN, MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 S CASS CT
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2632
Mailing Address - Country:US
Mailing Address - Phone:708-202-4509
Mailing Address - Fax:708-202-2410
Practice Address - Street 1:3515 S CASS CT
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2632
Practice Address - Country:US
Practice Address - Phone:708-202-4509
Practice Address - Fax:708-202-2410
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner