Provider Demographics
NPI:1053620989
Name:JONES, SHIRLEY ANN (RN)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1595 STATE ROUTE 247
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-9589
Mailing Address - Country:US
Mailing Address - Phone:937-927-5631
Mailing Address - Fax:
Practice Address - Street 1:1595 STATE ROUTE 247
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-9589
Practice Address - Country:US
Practice Address - Phone:937-927-5631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH337385163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice