Doctor Name: | VANESSA AMORE JONES |
NPI Number: | 1538353040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN169892 NP |
Business Practice Address: | 185 North Baker Street Ellenton, GA - 317470312 |
Business Phone Number: | 2293242845 |
Business Fax Number: | 2293243383 |
Mailing Address: | Po Box 312, 185 North Baker Street ELLENTON |
State: | GA |
Postal Code: | 317470312 |
Phone Number: | 2293242845 |
Fax Number: | 2293243383 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN169892 NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |