Provider Demographics
NPI:1497935902
Name:JONES, LEE ANNE J (DNP, APPN)
Entity Type:Individual
Prefix:DR
First Name:LEE ANNE
Middle Name:J
Last Name:JONES
Suffix:
Gender:F
Credentials:DNP, APPN
Other - Prefix:MS
Other - First Name:LEEANNE
Other - Middle Name:J
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LEEANNE J TAYLOR
Mailing Address - Street 1:1305 SEPTEMBER STAR AVENUE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89074
Mailing Address - Country:US
Mailing Address - Phone:702-327-0110
Mailing Address - Fax:
Practice Address - Street 1:2320 PASEO DEL PRADO STE B203
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4301
Practice Address - Country:US
Practice Address - Phone:725-325-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001227363L00000X
IDNP-1035A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner