Individual
OCTAVIA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2267 HASTINGS MANOR LN, HAMPTON, GA 30228-6493
(229) 232-3831
Mailing address
2267 HASTINGS MANOR LN, HAMPTON, GA 30228-6493
(229) 232-3831
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN188497
GA
163WG0600X
Gerontology Registered Nurse
RN188497
GA
163WH0200X
Home Health Registered Nurse
Primary
RN188497
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN188497
GA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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