Doctor Name: | MRS. TARVORSHAE RODGERS JONES |
NPI Number: | 1386078400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | RN165239 |
Business Practice Address: | 1915 Pius Dr Ellenwood, GA - 302941085 |
Business Phone Number: | 4047134522 |
Business Fax Number: | |
Mailing Address: | 1915 Pius Dr, ELLENWOOD |
State: | GA |
Postal Code: | 302941085 |
Phone Number: | 4047134522 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2013 |
NPI Last Update Date: | 08/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2100X |
License Number: | RN165239 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |