Doctor Name: | MRS. PAMELA LORRAINE JONES |
NPI Number: | 1144662370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 17784 |
Business Practice Address: | 79 Highway 51 S Ripley, TN - 38063 |
Business Phone Number: | 7316358189 |
Business Fax Number: | 7316358126 |
Mailing Address: | 899 Highway 51 South, COVINGTON |
State: | TN |
Postal Code: | 38019 |
Phone Number: | 9014768886 |
Fax Number: | 9014768388 |
NPI Enumeration Date: | 07/30/2013 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 17784 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |