Provider Demographics
NPI:1396387726
Name:JONES, SHONDA (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SHONDA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 N SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-2823
Mailing Address - Country:US
Mailing Address - Phone:443-857-7110
Mailing Address - Fax:
Practice Address - Street 1:105 LANDMARK DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171-9401
Practice Address - Country:US
Practice Address - Phone:276-694-7161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179562363LF0000X
CA835955163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse