Provider Demographics
NPI:1992214787
Name:JONES, LAUREEN GWYNNE (CNS)
Entity Type:Individual
Prefix:MRS
First Name:LAUREEN
Middle Name:GWYNNE
Last Name:JONES
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2571 GOOD HOPE-NEW HOLLAND RD.
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43145
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2571 GOOD HOPE NEW HOLLAND RD
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43145-9625
Practice Address - Country:US
Practice Address - Phone:740-572-9658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNS.019354364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist