Individual
LISA M JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
101 BECKETT LN, SUITE 502, FAYETTEVILLE, GA 30214-7155
(678) 817-1000
(678) 817-1001
Mailing address
101 BECKETT LN, SUITE 502, FAYETTEVILLE, GA 30214-7155
(678) 817-1000
(678) 817-1001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN224915
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01857371
—
GA
Enumeration date
06/19/2007
Last updated
03/18/2014
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