Provider Demographics
NPI:1013456151
Name:JONES, SARAH (ACNS-BC, AOCNS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:ACNS-BC, AOCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 N COUNTY ROAD 25A
Mailing Address - Street 2:CANCER CARE CENTER
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-1337
Mailing Address - Country:US
Mailing Address - Phone:937-440-4827
Mailing Address - Fax:937-440-4503
Practice Address - Street 1:3130 N COUNTY ROAD 25A
Practice Address - Street 2:CANCER CARE CENTER
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-1337
Practice Address - Country:US
Practice Address - Phone:937-440-4827
Practice Address - Fax:937-440-4503
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.167224364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health