Lillian M Jones, R.N.

Individual provider Active NPI Registered Nurse · Tohatchi, NM

NPI 1508051699 · NPPES record last updated Sep 11, 2007

Key facts

NPI
1508051699
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R35795 (NM)
Practice address
07 Choosghi Drive
Tohatchi, NM 87325-0142
Phone
(505) 733-8100
Fax
(505) 733-8491
NPI assigned
Sep 11, 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

LicenseStateTypeSpecialty
R35795NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R35795 NM Yes

Addresses

Primary practice location

07 Choosghi Drive
Tohatchi, NM 87325-0142

Mailing address

PO Box 142
Tohatchi, NM 87325-0142
Phone (505) 733-8100

Other providers in Tohatchi, NM

All providers in Tohatchi, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.