Most Relevant Information
Provider Data
| NPI Number: | 1003583675 |
| Provider Name: | JAWANDA JONES FNP - BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209023058 |
Most Important Dates
| Enumeration Date: | 08/23/2021 |
| Last Updated: | 10/03/2022 |
Provider Practice Location
6345 W 79TH ST
BURBANK
IL
604591133
Practice Location Phone/Fax
| Phone: | 8447255238 |
| Fax: | 7083468285 |
Provider Mailing Location
29373 NETWORK PL
CHICAGO
IL
606731293
Provider Mailing Phone/Fax
| Phone: | 8473905900 |
| Fax: |