MEDICARE: DEBORAH MUNNAH JONES-NAH PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10003889	OR

General Provider Information

NPI Number	:	1730011644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH MUNNAH JONES-NAH PMHNP

Provider Business Mailing Address
First Line	:	4966 DELIGHT ST N APT 4
Second Line	:
City	:	KEIZER
State	:	OR
Zip	:	97303-5455
Country	:	US
Telephone Number	:	763-923-3876
Fax Number	:

Provider Business Practice Location Address
First Line	:	4966 DELIGHT ST N APT 4
Second Line	:
City	:	KEIZER
State	:	OR
Zip	:	97303-5455
Country	:	US
Telephone Number	:	763-923-3876
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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