Individual
LATASHA NICHOLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8685 S OLD 41, CARLISLE, IN 47838-8234
(812) 268-3318
Mailing address
10950 E FLESHER AVE, TERRE HAUTE, IN 47803-9628
(812) 239-7616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28181448A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009861A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28181448A
BON INDIANA
IN
01
—
F01201392
AANP CERTIFICATION
IN
Enumeration date
01/27/2020
Last updated
01/29/2021
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