Healthcare Provider Details
I. General information
NPI: 1861630865
Provider Name (Legal Business Name): APRIL T JONES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/28/2009
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
309 JACKSON ST
MONROE LA
71201
US
IV. Provider business mailing address
309 JACKSON ST
MONROE LA
71201-7407
US
V. Phone/Fax
- Phone: 318-966-4541
- Fax:
- Phone: 318-966-4541
- Fax: 318-966-4543
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP05629 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN100147 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: