Individual
ANYA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 HIGHWAY 16 E, CARTHAGE, MS 39051
(601) 267-1470
(601) 267-1469
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
874618
MS
363LP0200X
Pediatric Nurse Practitioner
R874618
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06226201
—
MS
Enumeration date
07/07/2014
Last updated
07/20/2018
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