Basic Information
Provider Information
NPI: 1548209679
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: ARLENE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 SHENANGO AVE
Address2:  
City: SHARON
State: PA
PostalCode: 161461503
CountryCode: US
TelephoneNumber: 7247048886
FaxNumber: 7243421942
Practice Location
Address1: 63 PITT STREET
Address2: SHARON MEDICAL GROUP
City: SHARON
State: PA
PostalCode: 161462102
CountryCode: US
TelephoneNumber: 7243426604
FaxNumber: 7243426604
Other Information
ProviderEnumerationDate: 06/05/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XVP003838BPAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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