Individual
DR. KEZIAH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15 DUKE CT, FAIRBURN, GA 30213-8300
(813) 205-8901
Mailing address
15 DUKE CT, FAIRBURN, GA 30213-8300
(813) 205-8901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163W00000X
Registered Nurse
RN227487
GA
163WC0400X
Case Management Registered Nurse
RN227487
GA
163WC1500X
Community Health Registered Nurse
RN227487
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN227487
GA
163WG0000X
General Practice Registered Nurse
RN227487
GA
163WH0200X
Home Health Registered Nurse
RN227487
GA
163WN1003X
Nutrition Support Registered Nurse
RN227487
GA
175F00000X
Naturopath
—
—
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
RN227487
GA
364SH1100X
Holistic Clinical Nurse Specialist
RN227487
GA
405300000X
Prevention Professional
RN227487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN227487
NON PHYSICIAN PRACTIONER
GA
Enumeration date
02/09/2018
Last updated
02/09/2018
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