Provider Demographics
NPI:1245918986
Name:JONES, EMILY (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 WRIGHTSBORO RD STE B
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-4049
Mailing Address - Country:US
Mailing Address - Phone:706-736-8170
Mailing Address - Fax:706-736-8184
Practice Address - Street 1:1727 WRIGHTSBORO RD STE B
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-4049
Practice Address - Country:US
Practice Address - Phone:706-736-8170
Practice Address - Fax:706-736-8184
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN217384163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult