Provider Demographics
NPI:1326361148
Name:JONES, ALBERT JOHN JR (FNP)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:JOHN
Last Name:JONES
Suffix:JR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 VETERANS BLVD
Mailing Address - Street 2:VA GULF COAST VETERANS HEALTH CARE SYSTEM
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-2410
Mailing Address - Country:US
Mailing Address - Phone:228-523-5727
Mailing Address - Fax:228-523-5336
Practice Address - Street 1:400 VETERANS BLVD
Practice Address - Street 2:VA GULF COAST VETERANS HEALTH CARE SYSTEM
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-2410
Practice Address - Country:US
Practice Address - Phone:228-523-5727
Practice Address - Fax:228-523-5336
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR861681163W00000X
MSR861681200801079363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily