=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639082647
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | REMI JONES
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2026
-----------------------------------------------------
Last Update Date | 09/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | N18775 SAULD ST
-----------------------------------------------------
City | PEMBINE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54156-9480
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 715-324-5314
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | N16007 OLD 38 RD
-----------------------------------------------------
City | AMBERG
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54102-9134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WS0200X
-----------------------------------------------------
Taxonomy Name | School Registered Nurse
-----------------------------------------------------
License Number | 225269-30
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------