Provider Demographics
NPI:1588262513
Name:JONES-WASHINGTON, CLARINDA ANN (FNP)
Entity type:Individual
Prefix:MS
First Name:CLARINDA
Middle Name:ANN
Last Name:JONES-WASHINGTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16999 BRANDT ST
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-3315
Mailing Address - Country:US
Mailing Address - Phone:313-350-2742
Mailing Address - Fax:
Practice Address - Street 1:16999 BRANDT ST
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-3315
Practice Address - Country:US
Practice Address - Phone:313-350-2742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704255605363LF0000X
MI2020068033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily