Healthcare Provider Details

I. General information

NPI: 1134640915
Provider Name (Legal Business Name): CELIA LYNN JONES CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CELIA LYNN BROWN FNP-C

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 UNSER BLVD SE STE 8200
RIO RANCHO NM
87124-4740
US

IV. Provider business mailing address

PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE NM
87125-6666
US

V. Phone/Fax

Practice location:
  • Phone: 505-253-6100
  • Fax: 505-253-6296
Mailing address:
  • Phone: 505-253-6100
  • Fax: 505-253-6296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-033314
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: