Provider Demographics
NPI:1598011520
Name:JONES, SYDNEY (NNP)
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6450 SPALDING DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4650
Mailing Address - Country:US
Mailing Address - Phone:770-449-9334
Mailing Address - Fax:770-449-3181
Practice Address - Street 1:2015 UPPERGATE DRIVE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-4650
Practice Address - Country:US
Practice Address - Phone:404-727-3360
Practice Address - Fax:770-449-3181
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN217169363LP0200X, 163W00000X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse