Provider Demographics
NPI:1740703628
Name:JONES, FAITH MARIE (RN)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 N DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:WY
Mailing Address - Zip Code:82435-1812
Mailing Address - Country:US
Mailing Address - Phone:307-272-2207
Mailing Address - Fax:
Practice Address - Street 1:476 N DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:WY
Practice Address - Zip Code:82435-1812
Practice Address - Country:US
Practice Address - Phone:307-272-2207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY18429163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA444248OtherCALIFORNIA BOARD OF REGISTERED NURSING
WY18429OtherSTATE OF WYOMING BOARD OF NURSING
MTRN39894OtherSTATE OF MONTANA DEPARTMENT OF LABOR AND INDUSTRY