Provider Demographics
NPI:1467104661
Name:JONES, MEREDITH ANNE (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:ANNE
Last Name:JONES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1081 CROSSING RIDGE
Mailing Address - Street 2:
Mailing Address - City:BOGART
Mailing Address - State:GA
Mailing Address - Zip Code:30622
Mailing Address - Country:US
Mailing Address - Phone:404-630-1414
Mailing Address - Fax:
Practice Address - Street 1:1361 JENNINGS MILL RD, ATHENS BEHAVIORAL MEDICINE
Practice Address - Street 2:SUITE 201
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-7279
Practice Address - Country:US
Practice Address - Phone:706-316-1908
Practice Address - Fax:706-316-2062
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN265753163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse