Provider Demographics
NPI:1700944592
Name:JONES, MARIE W (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:W
Last Name:JONES
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX R
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:39813
Mailing Address - Country:US
Mailing Address - Phone:229-725-2147
Mailing Address - Fax:
Practice Address - Street 1:103 RE JENNINGS AVE SE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:GA
Practice Address - Zip Code:39813-8725
Practice Address - Country:US
Practice Address - Phone:229-725-4251
Practice Address - Fax:229-725-2212
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN028735363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health