Provider Demographics
NPI:1902857832
Name:JONES, JUDY ANN (RN,APN,C)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:RN,APN,C
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:ANN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN,APN,C
Mailing Address - Street 1:11 2ND BAYWAY
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6903
Mailing Address - Country:US
Mailing Address - Phone:732-506-6938
Mailing Address - Fax:732-506-6939
Practice Address - Street 1:63 LACEY RD
Practice Address - Street 2:SUITE F
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-2966
Practice Address - Country:US
Practice Address - Phone:732-849-1075
Practice Address - Fax:732-849-1076
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN03603100363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MC JO 006670Medicare ID - Type Unspecified
549795Medicare UPIN