Provider Demographics
NPI:1730474156
Name:SANDERS JONES, CLARESSA LAJUNE (CRNP)
Entity Type:Individual
Prefix:
First Name:CLARESSA
Middle Name:LAJUNE
Last Name:SANDERS JONES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CLARESSA
Other - Middle Name:LAJUNE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:904 ANNA AVE
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-2014
Mailing Address - Country:US
Mailing Address - Phone:205-345-6960
Mailing Address - Fax:205-342-3373
Practice Address - Street 1:535 JACK WARNER PKWY NE
Practice Address - Street 2:SUITE K
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-5751
Practice Address - Country:US
Practice Address - Phone:205-758-6471
Practice Address - Fax:205-758-6472
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-108168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCRNP RX # 3241OtherALABAMA BOARD OF NURSING