Provider Demographics
NPI:1851782411
Name:SAXON, JO ANN (AG-ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JO ANN
Middle Name:
Last Name:SAXON
Suffix:
Gender:F
Credentials:AG-ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 N HOUSTON RD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-2101
Mailing Address - Country:US
Mailing Address - Phone:478-922-4010
Mailing Address - Fax:478-922-2821
Practice Address - Street 1:707 N HOUSTON RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-2101
Practice Address - Country:US
Practice Address - Phone:478-922-4010
Practice Address - Fax:478-922-2821
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN113335363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care