Healthcare Provider Details

I. General information

NPI: 1235896150
Provider Name (Legal Business Name): JESSICA MARIE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2021
Last Update Date: 09/14/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BIRD LANE CULLOWHEE NC 28723
CULLOWHEE NC
28723
US

IV. Provider business mailing address

131 FISHER CREEK RD
SYLVA NC
28779-9796
US

V. Phone/Fax

Practice location:
  • Phone: 828-227-7640
  • Fax:
Mailing address:
  • Phone: 828-400-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5015695
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number283545
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: