Healthcare Provider Details

I. General information

NPI: 1366355927
Provider Name (Legal Business Name): ANGELA MARIE JONES LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 N BROADWAY ST
GREEN SPRINGS OH
44836-9734
US

IV. Provider business mailing address

223 CENTER ST
SANDUSKY OH
44870-3325
US

V. Phone/Fax

Practice location:
  • Phone: 419-765-4349
  • Fax:
Mailing address:
  • Phone: 844-534-3638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number127980
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: