Provider Demographics
NPI:1942632674
Name:JONES, SHEILA P (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:P
Last Name:JONES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TIFTON VA CLINIC
Mailing Address - Street 2:1824 RIDGE AVENUE NORTH
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31794
Mailing Address - Country:US
Mailing Address - Phone:229-391-6080
Mailing Address - Fax:478-277-6584
Practice Address - Street 1:TIFTON VA CLINIC
Practice Address - Street 2:1824 RIDGE AVENUE NORTH
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794
Practice Address - Country:US
Practice Address - Phone:229-391-6080
Practice Address - Fax:478-277-6584
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN197745363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003153751AMedicaid
GA2021506668Medicare NSC