=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093875155
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WENDY B JONES NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2006
-----------------------------------------------------
Last Update Date | 03/07/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10617 N HAYDEN RD # B102
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-5685
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-420-0722
-----------------------------------------------------
Fax | 480-454-1650
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5735 E WILSHIRE DR
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85257-1951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-945-6583
-----------------------------------------------------
Fax | 480-945-0359
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WW0101X
-----------------------------------------------------
Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
-----------------------------------------------------
License Number | RN079581
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LX0001X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
-----------------------------------------------------
License Number | AP7125
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------