Provider Demographics
NPI:1447541396
Name:JONES, NORA J (LPN)
Entity type:Individual
Prefix:MISS
First Name:NORA
Middle Name:J
Last Name:JONES
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 1:4133 GREENVALE RD
Mailing Address - Street 2:201
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2831
Mailing Address - Country:US
Mailing Address - Phone:216-430-9565
Mailing Address - Fax:
Practice Address - Street 1:4133 GREENVALE RD
Practice Address - Street 2:201
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-2831
Practice Address - Country:US
Practice Address - Phone:216-430-9565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.138858-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse