Provider Demographics
NPI:1730315581
Name:JONES, TERRI LYNNE SCOTT (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LYNNE SCOTT
Last Name:JONES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 S TELSHOR BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8601
Mailing Address - Country:US
Mailing Address - Phone:575-532-0202
Mailing Address - Fax:575-532-0930
Practice Address - Street 1:880 S TELSHOR BLVD STE 220
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8601
Practice Address - Country:US
Practice Address - Phone:575-532-0202
Practice Address - Fax:575-532-0930
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR20635363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health