Provider Demographics
NPI:1730186164
Name:JONES, CHARLENE (RN)
Entity type:Individual
Prefix:MISS
First Name:CHARLENE
Middle Name:
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 1:2012 EASTER LN
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-3418
Mailing Address - Country:US
Mailing Address - Phone:504-393-2029
Mailing Address - Fax:504-391-0437
Practice Address - Street 1:2012 EASTER LN
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-3418
Practice Address - Country:US
Practice Address - Phone:504-393-2029
Practice Address - Fax:504-391-0437
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN085414163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical