Provider Demographics
NPI:1891067898
Name:MARKER JONES, HAILY (LPN)
Entity Type:Individual
Prefix:
First Name:HAILY
Middle Name:
Last Name:MARKER 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:PO BOX 145
Mailing Address - Street 2:145 WISSINGER STREET
Mailing Address - City:SALIX
Mailing Address - State:PA
Mailing Address - Zip Code:15952-0145
Mailing Address - Country:US
Mailing Address - Phone:814-279-6848
Mailing Address - Fax:
Practice Address - Street 1:145 WISSINGER STREET
Practice Address - Street 2:
Practice Address - City:SALIX
Practice Address - State:PA
Practice Address - Zip Code:15952-0145
Practice Address - Country:US
Practice Address - Phone:814-279-6848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN289893164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse