Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN1025923 | DC |
NPI | 1033583257 |
---|---|
Provider Name | Mrs. Elizabeth Ann Jones |
First Address | Alexandria, VA 22304-4420 |
Second Address | Washington, DC 20010-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2015 |
Last Update Date | 27/11/2015 |