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NPI Code Detail

MEDICARE: STACI R JONES FNP LLC

MEDICARE: STACI R JONES FNP LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1497697924
Entity Type Code : Organization
Provider Name (Legal Business Name) : STACI R JONES FNP LLC
Provider Business Mailing Address
First Line : 65518 LORETTA DRIVE
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448
Country : US
Telephone Number : 985-635-6943
Fax Number : 985-231-6733
Provider Business Practice Location Address
First Line : 65518 LORETTA DRIVE
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448
Country : US
Telephone Number : 985-635-6943
Fax Number : 985-231-6733
Authorized Official
Title or Position : NP/OWNER
Name : STACI R JONES
Credential : APRN-CNP
Telephone Number : 985-635-6943
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “STACI R JONES FNP LLC ” Practice Location

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