MEDICARE: PHYLLIS JONES CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R093435	MD
2	363LF0000X	Family Nurse Practitioner	290247	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	6033167001	OTHER	CIGNA
2	60851801	OTHER	CAREFIRST
3	0011	OTHER	CAREFIRST
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396710745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHYLLIS JONES CRNP

Provider Business Mailing Address
First Line	:	1001 ROCK QUARRY RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-3825
Country	:	US
Telephone Number	:	919-833-3111
Fax Number	:	919-340-0271

Provider Business Practice Location Address
First Line	:	111 S CHURCH ST
Second Line	:
City	:	LOUISBURG
State	:	NC
Zip	:	27549-2501
Country	:	US
Telephone Number	:	919-833-3111
Fax Number	:	919-340-0271

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	11/09/2016

Similar Medicare Providers

1528045291 — DR. DORIS J BATTS-MURRAY MD
Practice Location Address:

111 S CHURCH ST
LOUISBURG, NC
27549-2501

Practice Phone: 919-340-2500
Practice Fax:

1275253726 — SHALANDA C VANN FNP-C, RN, IBCLC
Practice Location Address:

111 S CHURCH ST
LOUISBURG, NC
27549-2501

Practice Phone: 919-833-3111
Practice Fax:

1972461143 — CHRISTINE NICHOLE HOLDEN QMHP
Practice Location Address:

109 JOLLY ST
LOUISBURG, NC
27549-2239

Practice Phone: 919-729-1708
Practice Fax: 919-714-0918

1073472106 — MS. TANYA MARIE PAGETT RN
Practice Location Address:

103 MARKET ST
LOUISBURG, NC
27549-2523

Practice Phone: 919-443-4697
Practice Fax:

1518021294 — MR. JOHN FRANKLYN BRADSHAW M.S.,LMFT
Practice Location Address:

215 S BICKETT BLVD
LOUISBURG, NC
27549-2607

Practice Phone: 919-497-4500
Practice Fax: 919-497-5407

1518953017 — DAVID KING MD
Practice Location Address:

948 N MAIN ST
LOUISBURG, NC
27549-2149

Practice Phone: 919-496-3375
Practice Fax: 919-496-5669

Directions to “ PHYLLIS JONES CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.