Healthcare Provider Details

I. General information

NPI: 1407468887
Provider Name (Legal Business Name): LANAYA JONES FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA MD
21044-3648
US

IV. Provider business mailing address

7710 HEARTHSIDE WAY UNIT 311
ELKRIDGE MD
21075-7604
US

V. Phone/Fax

Practice location:
  • Phone: 910-591-9248
  • Fax:
Mailing address:
  • Phone: 910-591-9248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR216102
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: