Individual
LAURA LISMAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
897 POPLAR CHURCH RD, CAMP HILL, PA 17011-2206
(717) 857-0010
(717) 857-0011
Mailing address
2005 TECHNOLOGY PKWY STE 300, MECHANICSBURG, PA 17050-9413
(717) 988-5864
(717) 221-5615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013999
PA
363LA2200X
Adult Health Nurse Practitioner
SP013999
PA
363LG0600X
Gerontology Nurse Practitioner
SP013999
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100727800
TPI GROUP MEDICAID
PA
01
—
597586
TPI GROUP MEDICARE
PA
01
—
CD4829
TPI GROUP RR MEDICARE
PA
Enumeration date
08/07/2014
Last updated
08/27/2021
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