Provider Demographics
NPI:1770868630
Name:JONES, JILLIAN LINDSEY (CPNP-BC, RN)
Entity Type:Individual
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First Name:JILLIAN
Middle Name:LINDSEY
Last Name:JONES
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Gender:F
Credentials:CPNP-BC, RN
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Mailing Address - Street 1:ERIVER NEUROLOGY OF NEW YORK LLC
Mailing Address - Street 2:21 FOX STREET, SUITE 102
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4723
Mailing Address - Country:US
Mailing Address - Phone:845-452-9750
Mailing Address - Fax:845-452-9751
Practice Address - Street 1:ERIVER NEUROLOGY OF NEW YORK LLC
Practice Address - Street 2:200 WESTAGE BUS CTR DR., SUTIE 324
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2265
Practice Address - Country:US
Practice Address - Phone:845-452-9750
Practice Address - Fax:845-452-9751
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2019-04-09
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Provider Licenses
StateLicense IDTaxonomies
NYF382081363LP0200X, 363L00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03427254Medicaid