Provider Demographics
NPI:1033596580
Name:MCDANIEL-JONES, BOUVIA JAMELLA (APRN,FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BOUVIA
Middle Name:JAMELLA
Last Name:MCDANIEL-JONES
Suffix:
Gender:F
Credentials:APRN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 PATTI DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-7722
Mailing Address - Country:US
Mailing Address - Phone:864-295-2911
Mailing Address - Fax:
Practice Address - Street 1:2636 ELM HILL PIKE
Practice Address - Street 2:SUITE 120
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3162
Practice Address - Country:US
Practice Address - Phone:615-823-7608
Practice Address - Fax:615-658-9825
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18201363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily