Provider Demographics
NPI:1568977288
Name:JONES, ALICIA ANN (NP)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:ANN
Other - Last Name:ROSSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:220 E 4TH ST STE 130
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-4102
Mailing Address - Country:US
Mailing Address - Phone:513-964-0830
Mailing Address - Fax:303-649-3378
Practice Address - Street 1:220 E 4TH ST STE 130
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-4102
Practice Address - Country:US
Practice Address - Phone:513-964-0830
Practice Address - Fax:303-649-3378
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2021-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1635158163WG0000X
COAPN.0993374-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice