1346602281 NPI number — VALERIE JONES R.N.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346602281 NPI number — VALERIE JONES R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
VALERIE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHRISTIAN
Provider Other First Name:
VALERIE
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
R.N., M.ED.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1346602281
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
468 E HIGHWAY 81
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURLEY
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83318-5400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-431-8255
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
911 SOUTH HIGHWAY 30
Provider Second Line Business Practice Location Address:
OATS FAMILY CENTER
Provider Business Practice Location Address City Name:
HEYBURN
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-679-2273
Provider Business Practice Location Address Fax Number:
208-679-3368
Provider Enumeration Date:
03/21/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 261QR0405X , with the licence number:  26-1301778 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: N-21450 . This is a "IDAHO BOARD OF NURSING" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".




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