Healthcare Provider Details

I. General information

NPI: 1770437741
Provider Name (Legal Business Name): SALLY JONAS APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 JOE SKINNER RD
BELPRE OH
45714-9488
US

IV. Provider business mailing address

2728 NEWBURY RD
LITTLE HOCKING OH
45742-5314
US

V. Phone/Fax

Practice location:
  • Phone: 740-538-5405
  • Fax:
Mailing address:
  • Phone: 740-508-2817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0041564
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: