Healthcare Provider Details

I. General information

NPI: 1245058957
Provider Name (Legal Business Name): JERRI REBECCA JONES PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/27/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4038 CANAL ST # 1B
NEW ORLEANS LA
70119-6021
US

IV. Provider business mailing address

935 SAINT PETER ST # 1B
NEW ORLEANS LA
70116-3034
US

V. Phone/Fax

Practice location:
  • Phone: 504-681-7030
  • Fax:
Mailing address:
  • Phone: 281-635-1807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberPLC10439
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC10439
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: