Basic Information
| Provider Information | |||||||||
| NPI: | 1255401121 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | FAYE | ||||||||
| MiddleName: | P. | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 37505 BAYSIDE DR | ||||||||
| Address2: | |||||||||
| City: | GREENBACKVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233562825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7578240183 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 400-A WALNUT STREET | ||||||||
| Address2: | POCOMOKE HEALTH CENTER | ||||||||
| City: | POCOMOKE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21851 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109572005 | ||||||||
| FaxNumber: | 4109572417 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC1500X | 0001199405 | VA | Y | Nursing Service Providers | Registered Nurse | Community Health |
No ID Information.