Provider Demographics
NPI:1851738579
Name:JONES, KATHERINE BENTON (RN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BENTON
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 UMSTEAD DRIVE MSC 3024
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27699-3024
Mailing Address - Country:US
Mailing Address - Phone:919-715-9166
Mailing Address - Fax:919-733-5869
Practice Address - Street 1:2108 UMSTEAD DRIVE MSC 3024
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27699-3024
Practice Address - Country:US
Practice Address - Phone:919-715-9166
Practice Address - Fax:919-733-5869
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC092311163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse