Provider Demographics
NPI:1366425415
Name:JONES, MARGARET MONTGOMER (RN)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MONTGOMER
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 1:8133 RONDELAY LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-2305
Mailing Address - Country:US
Mailing Address - Phone:703-239-0948
Mailing Address - Fax:
Practice Address - Street 1:8133 RONDELAY LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX STATION
Practice Address - State:VA
Practice Address - Zip Code:22039
Practice Address - Country:US
Practice Address - Phone:703-239-0948
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001066148163WC0400X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health