Provider Demographics
NPI:1295996015
Name:KELLY-JONES, DENISE MARIE (RN, MS, CCRN, NP-C)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:KELLY-JONES
Suffix:
Gender:F
Credentials:RN, MS, CCRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HASTINGS SQUARE MALL
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4227
Mailing Address - Country:US
Mailing Address - Phone:908-979-0050
Mailing Address - Fax:908-979-0044
Practice Address - Street 1:5 HASTINGS SQUARE MALL
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4227
Practice Address - Country:US
Practice Address - Phone:908-979-0050
Practice Address - Fax:908-979-0044
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJN30093700363LA2100X
NJ26NN10093700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health