Provider Demographics
NPI:1558819128
Name:JONES, JULIA RENAE (CRNP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:RENAE
Last Name:JONES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 COUNTY ROAD 262
Mailing Address - Street 2:
Mailing Address - City:HANCEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35077-3415
Mailing Address - Country:US
Mailing Address - Phone:256-781-0718
Mailing Address - Fax:256-417-4534
Practice Address - Street 1:24 COUNTY ROAD 262
Practice Address - Street 2:
Practice Address - City:HANCEVILLE
Practice Address - State:AL
Practice Address - Zip Code:35077-3415
Practice Address - Country:US
Practice Address - Phone:256-781-0718
Practice Address - Fax:256-417-4534
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-100055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL232695Medicaid