Provider Demographics
NPI:1134999774
Name:JONES, CHANEL (MSN-ED, CRNP, FNP-C)
Entity type:Individual
Prefix:MS
First Name:CHANEL
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN-ED, CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 WISCONSIN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-4102
Mailing Address - Country:US
Mailing Address - Phone:866-389-2727
Mailing Address - Fax:
Practice Address - Street 1:2226 WISCONSIN AVE NW
Practice Address - Street 2:CLINIC #02378
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-4102
Practice Address - Country:US
Practice Address - Phone:202-944-8671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR182469363LF0000X, 363LF0000X
VA0024189637363LF0000X
DCNP500016554363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily