Healthcare Provider Details

I. General information

NPI: 1568977288
Provider Name (Legal Business Name): ALICIA ANN JONES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALICIA ANN ROSSI NP

II. Dates (important events)

Enumeration Date: 12/04/2017
Last Update Date: 09/04/2021
Certification Date: 09/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 E 4TH ST STE 130
CINCINNATI OH
45202-4102
US

IV. Provider business mailing address

220 E 4TH ST STE 130
CINCINNATI OH
45202-4102
US

V. Phone/Fax

Practice location:
  • Phone: 513-964-0830
  • Fax: 303-649-3378
Mailing address:
  • Phone: 513-964-0830
  • Fax: 303-649-3378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0993374-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1635158
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: