Doctor Name: | MRS. ORETHA DIANE JONES |
NPI Number: | 1588755045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 3298622 |
Business Practice Address: | 680 Maple St Chattahoochee, FL - 323241826 |
Business Phone Number: | 8502242469 |
Business Fax Number: | 8502241139 |
Mailing Address: | 6008 Buck Lake Rd, TALLAHASSEE |
State: | FL |
Postal Code: | 323179514 |
Phone Number: | 8504212479 |
Fax Number: | 8504222478 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 01/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | ARNP 3298622 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |