Provider Demographics
NPI:1427420926
Name:JONES, HEATHER JANELLE (RN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:JANELLE
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 1:588 BIG GOOSE RD
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-8614
Mailing Address - Country:US
Mailing Address - Phone:307-797-3758
Mailing Address - Fax:
Practice Address - Street 1:588 BIG GOOSE RD
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-8614
Practice Address - Country:US
Practice Address - Phone:307-797-3758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY34189163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse