Healthcare Provider Details

I. General information

NPI: 1750202511
Provider Name (Legal Business Name): TERA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WASHINGTON ST STE 303
MONROE LA
71201-6714
US

IV. Provider business mailing address

300 WASHINGTON ST STE 303
MONROE LA
71201-6714
US

V. Phone/Fax

Practice location:
  • Phone: 318-322-0049
  • Fax: 318-322-0059
Mailing address:
  • Phone: 318-322-0049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number208848
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: