Provider Demographics
NPI:1568921286
Name:JONES, CAEZAIROA MONET (NP)
Entity Type:Individual
Prefix:MRS
First Name:CAEZAIROA
Middle Name:MONET
Last Name:JONES
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:4150 DEPUTY; BILL CANTRELL MEMORIAL RD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:CUMMINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30040
Mailing Address - Country:US
Mailing Address - Phone:404-446-0600
Mailing Address - Fax:404-446-0601
Practice Address - Street 1:4150 DEPUTY BILL CANTRELL MEMORIAL RD
Practice Address - Street 2:SUITE 290
Practice Address - City:CUMMINGS
Practice Address - State:GA
Practice Address - Zip Code:30040
Practice Address - Country:US
Practice Address - Phone:404-446-0600
Practice Address - Fax:404-446-0601
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2022-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN202472363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner