Healthcare Provider Details

I. General information

NPI: 1003661067
Provider Name (Legal Business Name): JENNIFER JONES RN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 SW 4TH CIR
BOCA RATON FL
33486-4414
US

IV. Provider business mailing address

1575 SW 4TH CIR
BOCA RATON FL
33486-4414
US

V. Phone/Fax

Practice location:
  • Phone: 954-520-0227
  • Fax: 561-338-3322
Mailing address:
  • Phone: 954-520-0227
  • Fax: 561-338-3322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER L JONES
Title or Position: OWNER/EMPLOYEE
Credential: RN IBCLC BSN MPH PHD
Phone: 954-520-0227