NPI Code Details Logo

NPI 1174338024

NPI 1174338024 : HANNAH JEAN JONES PMHNP-BC : LAKE ELSINORE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174338024
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HANNAH JEAN JONES PMHNP-BC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/10/2025
-----------------------------------------------------
    Last Update Date     |    05/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    16776 LAKESHORE DR STE F 
-----------------------------------------------------
    City                 |    LAKE ELSINORE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92530-4950
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-457-2493
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    16776 LAKESHORE DR STE F 
-----------------------------------------------------
    City                 |    LAKE ELSINORE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92530-4950
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-457-2393
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    95033865
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.