Healthcare Provider Details

I. General information

NPI: 1730095084
Provider Name (Legal Business Name): ROXANNE D JONES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5930 CORNERSTONE CT W STE 300
SAN DIEGO CA
92121-3772
US

IV. Provider business mailing address

136 MILLERS CREEK DR
MONTGOMERY AL
36117-3739
US

V. Phone/Fax

Practice location:
  • Phone: 866-687-7390
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1010139693
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1151086
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: