Individual
MS. TYEASA RENAE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
41704 W SMITH ENKE RD STE 100, MARICOPA, AZ 85138-2710
(623) 200-3526
(623) 401-6598
Mailing address
41704 W SMITH ENKE RD STE 100, MARICOPA, AZ 85138-2710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202202599NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
238907
AZ
Other
Enumeration date
03/23/2020
Last updated
11/04/2025
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