MEDICARE: MRS. HEATHER NICOLE JONES NP

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	204513	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467985275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER NICOLE JONES NP

Provider Business Mailing Address
First Line	:	PO BOX 89254
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-0254
Country	:	US
Telephone Number	:	404-626-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	5775 PEACHTREE DUNWOODY RD NE STE 500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1501
Country	:	US
Telephone Number	:	678-634-2289
Fax Number	:	844-257-4383

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

Provider Enumeration Date	:	04/07/2017
Last Update Date	:	02/18/2020

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