Healthcare Provider Details

I. General information

NPI: 1316702939
Provider Name (Legal Business Name): MRS. VALENCIA YARBROUGH JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 EAGLES WALK
STOCKBRIDGE GA
30281-6333
US

IV. Provider business mailing address

102 CATSKILL LN
BONAIRE GA
31005-5618
US

V. Phone/Fax

Practice location:
  • Phone: 678-881-0020
  • Fax:
Mailing address:
  • Phone: 478-737-2778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN259663
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM10861
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: