Doctor Name: | LISA JONES |
NPI Number: | 1154737153 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0024171824 |
Business Practice Address: | 7519 Hospital Dr Gloucester, VA - 230614178 |
Business Phone Number: | 8046938800 |
Business Fax Number: | |
Mailing Address: | 856 J Clyde Morris Blvd, Suite A NEWPORT NEWS |
State: | VA |
Postal Code: | 236011318 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/10/2014 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 0024171824 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |