Healthcare Provider Details

I. General information

NPI: 1003670357
Provider Name (Legal Business Name): JOAN NATALIE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11236 ROBINWOOD DR STE 101
HAGERSTOWN MD
21742-6800
US

IV. Provider business mailing address

826 WASHINGTON RD STE 110A
WESTMINSTER MD
21157-5779
US

V. Phone/Fax

Practice location:
  • Phone: 240-313-4242
  • Fax:
Mailing address:
  • Phone: 410-751-7480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR236447
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: