Provider Demographics
NPI:1790026078
Name:JONES, ERIN BROOKE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:BROOKE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2389 W LEATHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND FURNACE
Mailing Address - State:TN
Mailing Address - Zip Code:37051-5201
Mailing Address - Country:US
Mailing Address - Phone:208-599-1378
Mailing Address - Fax:
Practice Address - Street 1:2389 W LEATHERWOOD RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND FURNACE
Practice Address - State:TN
Practice Address - Zip Code:37051-5201
Practice Address - Country:US
Practice Address - Phone:208-599-1378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN70854164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse