Provider Demographics
NPI:1104100809
Name:JONES, MARGARET MULCAHY (RN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MULCAHY
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 1:19 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT EDWARD
Mailing Address - State:NY
Mailing Address - Zip Code:12828-2413
Mailing Address - Country:US
Mailing Address - Phone:518-792-6180
Mailing Address - Fax:
Practice Address - Street 1:1548 STATE ROUTE 67
Practice Address - Street 2:
Practice Address - City:SCHAGHTICOKE
Practice Address - State:NY
Practice Address - Zip Code:12154-2729
Practice Address - Country:US
Practice Address - Phone:518-753-4458
Practice Address - Fax:518-659-3941
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY383233163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool