Doctor Name: | DEBORAH DIANE JONES |
NPI Number: | 1083944003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 71003164A |
Business Practice Address: | 1050 Old Camp Rd The Villages, FL - 321621762 |
Business Phone Number: | 3526741760 |
Business Fax Number: | 3526748960 |
Mailing Address: | 1020 Lake Sumter Lndg, THE VILLAGES |
State: | FL |
Postal Code: | 321622699 |
Phone Number: | 3526748905 |
Fax Number: | 3526748919 |
NPI Enumeration Date: | 01/14/2010 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71003164A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |