Healthcare Provider Details

I. General information

NPI: 1396160875
Provider Name (Legal Business Name): ROYMELLE JONES-MASON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2014
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 EVANGELINE ST
MONROE LA
71201-3749
US

IV. Provider business mailing address

28 WINCHESTER CIR
MONROE LA
71203-6625
US

V. Phone/Fax

Practice location:
  • Phone: 318-325-0325
  • Fax: 318-325-0316
Mailing address:
  • Phone: 318-547-3909
  • Fax: 318-547-5909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP07508
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPO7508
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: