Healthcare Provider Details

I. General information

NPI: 1720996416
Provider Name (Legal Business Name): JANELLE DENISE JONES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1538 13TH AVE STE C200
COLUMBUS GA
31901-2546
US

IV. Provider business mailing address

1538 13TH AVE STE C200
COLUMBUS GA
31901-2546
US

V. Phone/Fax

Practice location:
  • Phone: 706-320-2547
  • Fax:
Mailing address:
  • Phone: 407-556-4461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberGAA-NP005617
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: