Provider Demographics
NPI:1285958025
Name:JONES, JERI NICOLE I (NURSE)
Entity type:Individual
Prefix:MS
First Name:JERI
Middle Name:NICOLE
Last Name:JONES
Suffix:I
Gender:F
Credentials:NURSE
Other - Prefix:MS
Other - First Name:JERI
Other - Middle Name:NICOLE
Other - Last Name:JONES
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:LPT
Mailing Address - Street 1:1159 N MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-4582
Mailing Address - Country:US
Mailing Address - Phone:909-355-5282
Mailing Address - Fax:
Practice Address - Street 1:58945 BUSINESS CENTER DR STE D
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-7310
Practice Address - Country:US
Practice Address - Phone:760-228-9657
Practice Address - Fax:760-369-6758
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34468167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician