Provider Demographics
NPI:1336237304
Name:JONES, YVONNE B (RNP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:B
Last Name:JONES
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8741 ORIOLE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63147-1609
Mailing Address - Country:US
Mailing Address - Phone:314-814-8576
Mailing Address - Fax:314-814-8542
Practice Address - Street 1:1717 BIDDLE ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-3454
Practice Address - Country:US
Practice Address - Phone:314-814-8515
Practice Address - Fax:314-814-8542
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO061876363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO423566413Medicaid
S62376Medicare UPIN