Provider Demographics
NPI:1891214128
Name:JONES, NERRISSA ARIELLE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:NERRISSA
Middle Name:ARIELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-7101
Mailing Address - Country:US
Mailing Address - Phone:240-774-1556
Mailing Address - Fax:
Practice Address - Street 1:508 ASHAWAY LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-8777
Practice Address - Country:US
Practice Address - Phone:781-526-6914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR175718363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily