Provider Demographics
NPI:1568120046
Name:JONES, TRISHA LEANNA (APRN)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:LEANNA
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-1917
Mailing Address - Country:US
Mailing Address - Phone:850-718-2531
Mailing Address - Fax:850-718-2844
Practice Address - Street 1:1798 GEORGIA ST
Practice Address - Street 2:
Practice Address - City:ALFORD
Practice Address - State:FL
Practice Address - Zip Code:32420-6800
Practice Address - Country:US
Practice Address - Phone:850-526-6727
Practice Address - Fax:850-526-1027
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily