Healthcare Provider Details

I. General information

NPI: 1699081869
Provider Name (Legal Business Name): MILISSA U JONES MD, MPH, FAAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MILISSA U CARTER MD

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 09/28/2021
Certification Date: 09/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

1 JARRETT WHITE RD
TRIPLER AMC HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-1252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number0101251707
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101251707
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: