=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861301772
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIELLE RISNER JONES LPN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2026
-----------------------------------------------------
Last Update Date | 09/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2610 HOSPITAL RD
-----------------------------------------------------
City | GOLDSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27534-9423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-731-4809
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9752 HAWLEY RD
-----------------------------------------------------
City | KENLY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27542-9065
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-940-9413
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 164W00000X
-----------------------------------------------------
Taxonomy Name | Licensed Practical Nurse
-----------------------------------------------------
License Number | 088066
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------