Provider Demographics
NPI:1831108208
Name:JONES, JANETTE SUE (APRN)
Entity Type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:SUE
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-2725
Mailing Address - Country:US
Mailing Address - Phone:630-377-9277
Mailing Address - Fax:630-377-9729
Practice Address - Street 1:318 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2725
Practice Address - Country:US
Practice Address - Phone:630-377-9277
Practice Address - Fax:630-377-9729
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.407476163WP2201X
IL209.010255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0339324-22OtherFNP