Healthcare Provider Details

I. General information

NPI: 1851831788
Provider Name (Legal Business Name): AUDREY WILLIAMS JONES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2017
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 HOLCOMB BRIDGE RD STE 100-B
PEACHTREE CORNERS GA
30092-7156
US

IV. Provider business mailing address

3475 HOLCOMB BRIDGE RD STE 100-B
PEACHTREE CORNERS GA
30092-7156
US

V. Phone/Fax

Practice location:
  • Phone: 470-448-1172
  • Fax: 470-375-8927
Mailing address:
  • Phone: 470-448-1172
  • Fax: 470-375-8927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN 20756
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN163203
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: