Healthcare Provider Details

I. General information

NPI: 1588387583
Provider Name (Legal Business Name): MONICA ASHLEY JONES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 W 155TH ST
HARVEY IL
60426-3556
US

IV. Provider business mailing address

31 W 155TH ST
HARVEY IL
60426-3556
US

V. Phone/Fax

Practice location:
  • Phone: 708-596-5177
  • Fax: 708-596-5518
Mailing address:
  • Phone: 708-596-5177
  • Fax: 708-596-5518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number209.026268
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209026268
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041419805
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number209026268
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: