Provider Demographics
NPI:1871859439
Name:JONES, LAURA E (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 E BRANDON BLVD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5219
Mailing Address - Country:US
Mailing Address - Phone:813-915-5459
Mailing Address - Fax:813-324-7361
Practice Address - Street 1:128 E BRANDON BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-915-5459
Practice Address - Fax:813-324-7361
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9176046363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily