Provider Demographics
NPI:1780976696
Name:NIGHTINGALE DEVICES
Entity type:Organization
Organization Name:NIGHTINGALE DEVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-865-4023
Mailing Address - Street 1:44 BUCK SHOALS RD
Mailing Address - Street 2:UNIT F2
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-3307
Mailing Address - Country:US
Mailing Address - Phone:469-865-4023
Mailing Address - Fax:
Practice Address - Street 1:10927 WONDERLAND TRL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-3960
Practice Address - Country:US
Practice Address - Phone:469-865-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies