Provider Demographics
NPI:1932862166
Name:JONES, DONNA JEAN (LPN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:JONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:JEAN
Other - Last Name:CHANDLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:862 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:BARTON
Mailing Address - State:NY
Mailing Address - Zip Code:13734-1300
Mailing Address - Country:US
Mailing Address - Phone:570-867-1496
Mailing Address - Fax:
Practice Address - Street 1:862 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:BARTON
Practice Address - State:NY
Practice Address - Zip Code:13734-1300
Practice Address - Country:US
Practice Address - Phone:570-867-1496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311195-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse