Jones, Stacey Marie

Jones, Stacey Marie is an individual health care provider with primary practice located at 73265 Confederated Way , Pendleton OR 97801-0160. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jones, Stacey Marie can be contacted via phone (541) 966-9830.

Contact Information

Primary practice address
73265 Confederated Way Pendleton OR 97801-0160
Phone: (541) 966-9830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP0055060 Washington
Nursing Service Providers / Licensed Practical Nurse 164W00000X 200730406LPN Oregon

Profile Details

NPI number 1376843383
LBN Legal business name Jones, Stacey Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2010
Last updated Oct 25th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376843383 NPPES
Oregon MEDICAID 1741037

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