Provider Demographics
NPI:1013741537
Name:HARRIS JONES, TRAMEKA LASHUN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:TRAMEKA
Middle Name:LASHUN
Last Name:HARRIS 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 1:1306 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-5155
Mailing Address - Country:US
Mailing Address - Phone:706-280-9295
Mailing Address - Fax:
Practice Address - Street 1:205 ROADRUNNER BLVD
Practice Address - Street 2:
Practice Address - City:LA FAYETTE
Practice Address - State:GA
Practice Address - Zip Code:30728-2161
Practice Address - Country:US
Practice Address - Phone:706-638-4662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN31464363LG0600X
GARN314464363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology