Provider Demographics
NPI:1356123749
Name:JONES, ERIN KATHLEEN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KATHLEEN
Last Name:JONES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:106 S FARRAR DR STE 109
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4912
Mailing Address - Country:US
Mailing Address - Phone:573-334-7055
Mailing Address - Fax:573-334-7961
Practice Address - Street 1:106 S FARRAR DR STE 109
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4912
Practice Address - Country:US
Practice Address - Phone:573-334-7055
Practice Address - Fax:573-334-7961
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017023123163WP0808X
MO2023043287363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health