Individual
DR. CARLA BERNITA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2064 RIDGEDALE RD NE, ATLANTA, GA 30317
(888) 719-5445
(678) 805-4743
Mailing address
2064 RIDGEDALE RD NE, ATLANTA, GA 30317-1240
(888) 719-5445
(678) 805-4743
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN059388
GA
164X00000X
Licensed Vocational Nurse
LPN059388
GA
374K00000X
Religious Nonmedical Practitioner
LPN059388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN059388
NURSING LICENSE
GA
Enumeration date
01/07/2013
Last updated
01/09/2013
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