Provider Demographics
NPI:1548349426
Name:JONES, STANLEY ROBERT (RN)
Entity type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:ROBERT
Last Name:JONES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24955 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-7447
Mailing Address - Country:US
Mailing Address - Phone:630-207-4507
Mailing Address - Fax:
Practice Address - Street 1:24955 MADISON ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-7447
Practice Address - Country:US
Practice Address - Phone:630-207-4507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.270357163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator