Healthcare Provider Details

I. General information

NPI: 1073449609
Provider Name (Legal Business Name): STEVEN SCOTT JONES PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 GAUSE BLVD E
SLIDELL LA
70461-5453
US

IV. Provider business mailing address

2040 GAUSE BLVD E
SLIDELL LA
70461-5453
US

V. Phone/Fax

Practice location:
  • Phone: 504-401-9162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number247837
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: