NPI Code Details Logo

NPI 1609594720

NPI 1609594720 : JENNIFER M JONES NP : ACWORTH, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609594720
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JENNIFER M JONES NP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/15/2022
-----------------------------------------------------
    Last Update Date     |    10/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1762 MARS HILL RD NW 
-----------------------------------------------------
    City                 |    ACWORTH
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30101-8091
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-948-3019
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5721 USA N DRIVE 
-----------------------------------------------------
    City                 |    MOBILE
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    36688-0001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    251-445-9400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

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

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN-NP155730
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

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