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NPI Code Detail

MEDICARE: RAVEN RE'SHAUNE JONES MSN, APRN, PMHNP-BC

MEDICARE: RAVEN RE'SHAUNE JONES MSN, APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner215223LA

General Provider Information

NPI Number : 1801364500
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVEN RE'SHAUNE JONES MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 40026 JUDITH LORA DR
Second Line :
City : GONZALES
State : LA
Zip : 70737-7864
Country : US
Telephone Number : 225-223-3118
Fax Number :
Provider Business Practice Location Address
First Line : 711 COLONIAL DR STE D
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6549
Country : US
Telephone Number : 225-246-2162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2018
Last Update Date : 06/29/2026

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