Provider Demographics
NPI:1710023858
Name:JONES, DENISE SUZANNE (REGISTERED NURSE, NP)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:SUZANNE
Last Name:JONES
Suffix:
Gender:F
Credentials:REGISTERED NURSE, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2245 GEARY STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2418
Mailing Address - Country:US
Mailing Address - Phone:415-833-2505
Mailing Address - Fax:
Practice Address - Street 1:2245 GEARY STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-833-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB333360363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics