Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | JONE-M3JEHA | NC |
NPI | 1033580832 |
---|---|
Provider Name | Penny Woodworth Jones |
First Address | Chapel Hill, NC 27515-3138 |
Second Address | Durham, NC 27713-8029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2015 |
Last Update Date | 29/05/2019 |