Provider Demographics
NPI:1356164057
Name:METRO, JONA M (MSN, RN, FNE, SANE,)
Entity type:Individual
Prefix:
First Name:JONA
Middle Name:M
Last Name:METRO
Suffix:
Gender:F
Credentials:MSN, RN, FNE, SANE,
Other - Prefix:
Other - First Name:JONA
Other - Middle Name:M
Other - Last Name:METRO-LUCIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, FNE, SANE
Mailing Address - Street 1:5165 MCCARTY LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-8764
Mailing Address - Country:US
Mailing Address - Phone:765-838-5199
Mailing Address - Fax:
Practice Address - Street 1:5165 MCCARTY LN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-8764
Practice Address - Country:US
Practice Address - Phone:765-838-5199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28231493A163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency