Provider Demographics
NPI:1447839279
Name:JORNALES, ARRAVELE BONAFE
Entity type:Individual
Prefix:
First Name:ARRAVELE
Middle Name:BONAFE
Last Name:JORNALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 BERGEN TPKE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-2435
Mailing Address - Country:US
Mailing Address - Phone:201-867-3585
Mailing Address - Fax:201-758-5016
Practice Address - Street 1:3505 BERGEN TPKE
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-2435
Practice Address - Country:US
Practice Address - Phone:201-867-3585
Practice Address - Fax:201-758-5016
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13941000163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse