Basic Information
| Provider Information | |||||||||
| NPI: | 1306305917 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | CHERYL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 GOFFS FALLS RD STE 101 | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031036109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009952673 | ||||||||
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| Practice Location | |||||||||
| Address1: | 150 SPRING ST | ||||||||
| Address2: | |||||||||
| City: | MORRISON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804652532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036978181 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2019 | ||||||||
| LastUpdateDate: | 03/14/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | PN.0035022 | CO | Y | Nursing Service Providers | Licensed Practical Nurse | 164W00000X | P36042 | IA | N | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.