Provider Demographics
NPI:1649332008
Name:JONES, ANNA CHRISTINE (PMHNP-BC, FNP-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CHRISTINE
Last Name:JONES
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CENTRAL PLZ # 418
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-3233
Mailing Address - Country:US
Mailing Address - Phone:770-324-1397
Mailing Address - Fax:
Practice Address - Street 1:101 TOM MURPHY INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:BREMEN
Practice Address - State:GA
Practice Address - Zip Code:30110
Practice Address - Country:US
Practice Address - Phone:678-309-2092
Practice Address - Fax:855-486-9205
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN151386163W00000X, 363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA975550037EMedicaid
GA975550037CMedicaid
GA975550037CMedicaid