Provider Demographics
NPI:1144766809
Name:JONES, TEKIA LANELLE (PMHNP-BC, DNP)
Entity Type:Individual
Prefix:DR
First Name:TEKIA
Middle Name:LANELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:PMHNP-BC, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5136 COMMUNITY CENTER DR
Mailing Address - Street 2:
Mailing Address - City:USAF ACADEMY
Mailing Address - State:CO
Mailing Address - Zip Code:80840-3002
Mailing Address - Country:US
Mailing Address - Phone:719-333-5177
Mailing Address - Fax:
Practice Address - Street 1:5136 COMMUNITY CENTER DR
Practice Address - Street 2:
Practice Address - City:USAF ACADEMY
Practice Address - State:CO
Practice Address - Zip Code:80840-3002
Practice Address - Country:US
Practice Address - Phone:719-333-5177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0001177-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC-RXN.0000498-C-NPOtherDORA
COC-APN.0001177-C-NPOtherDORA