Alice Evelyn Jones, RN
Individual provider Active NPI Community Health Registered Nurse · Rubidoux, CA
NPI 1114108149 · NPPES record last updated Nov 19, 2007
Key facts
- NPI
- 1114108149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 621859 (CA)
- Practice address
- 5256 Mission Blvd
Rubidoux, CA 92509-4624 - Phone
- (951) 955-5339
- Fax
- (951) 955-5329
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621859 | CA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 621859 | CA | Yes |
Addresses
Primary practice location
5256 Mission Blvd
Rubidoux, CA 92509-4624
Mailing address
4065 County Circle Dr
Riverside, CA 92503-3410
Phone (951) 358-5438
Other providers in Rubidoux, CA
All providers in Rubidoux, CA · Community Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.