MEDICARE: LATRISHA JONES RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach		GA
2	163W00000X	Registered Nurse	225803	GA

General Provider Information

NPI Number	:	1225997000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATRISHA JONES RN

Provider Business Mailing Address
First Line	:	5962 ZEBULON RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31210-2099
Country	:	US
Telephone Number	:	478-227-6211
Fax Number	:

Provider Business Practice Location Address
First Line	:	5962 ZEBULON RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31210-2099
Country	:	US
Telephone Number	:	478-227-6211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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