Provider Demographics
NPI:1902372097
Name:JONES, TABATHA MICHELLE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:TABATHA
Middle Name:MICHELLE
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:PO BOX 9822
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28815-0822
Mailing Address - Country:US
Mailing Address - Phone:828-778-2985
Mailing Address - Fax:765-392-4263
Practice Address - Street 1:77 CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2452
Practice Address - Country:US
Practice Address - Phone:828-778-2973
Practice Address - Fax:765-392-4263
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011105363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health