Healthcare Provider Details

I. General information

NPI: 1366671349
Provider Name (Legal Business Name): ELIZABETH STEWART-JONES MS, RN,APN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 WALMART DR
CAMDEN DE
19934-1365
US

IV. Provider business mailing address

336 CORNISH RD
HARRINGTON DE
19952-4064
US

V. Phone/Fax

Practice location:
  • Phone: 302-387-4343
  • Fax:
Mailing address:
  • Phone: 609-410-1952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NN06932200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLB-0000221
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: