Healthcare Provider Details

I. General information

NPI: 1831551738
Provider Name (Legal Business Name): ESTHER W JONES RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1458 ADDISON RD S
CAPITOL HEIGHTS MD
20743-4413
US

IV. Provider business mailing address

8216 CANNING TER
GREENBELT MD
20770-2706
US

V. Phone/Fax

Practice location:
  • Phone: 301-324-1500
  • Fax:
Mailing address:
  • Phone: 202-734-0952
  • Fax: 888-959-8289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR181517
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1011928
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-15996
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: