Provider Demographics
NPI:1992018279
Name:JONESS, PATRICIA MAE (LPN)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MAE
Last Name:JONESS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5446 DUNMORE DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-1133
Mailing Address - Country:US
Mailing Address - Phone:937-763-5037
Mailing Address - Fax:
Practice Address - Street 1:5446 DUNMORE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-1133
Practice Address - Country:US
Practice Address - Phone:937-763-5037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.093291-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse