Provider Demographics
NPI:1316268584
Name:SUSAN J JONES, ARNP MSN PLLC
Entity type:Organization
Organization Name:SUSAN J JONES, ARNP MSN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICTIONER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:360-331-3391
Mailing Address - Street 1:5548 MYRTLE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-8776
Mailing Address - Country:US
Mailing Address - Phone:360-331-3391
Mailing Address - Fax:
Practice Address - Street 1:5548 MYRTLE AVE STE 201
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-8776
Practice Address - Country:US
Practice Address - Phone:360-331-3391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP300007783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty