Provider Demographics
NPI:1942892625
Name:JONES, JILL BATES (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:BATES
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10221 KRAUSE RD UNIT 1681
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-1268
Mailing Address - Country:US
Mailing Address - Phone:804-691-5967
Mailing Address - Fax:
Practice Address - Street 1:10221 KRAUSE RD UNIT 1681
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-1268
Practice Address - Country:US
Practice Address - Phone:804-691-5967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024177884363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily