Provider Demographics
NPI:1770899262
Name:JONES, GERALDINE J (NP-C)
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:J
Last Name:JONES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:GERALDINE
Other - Middle Name:JACKSON
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:PO BOX 60969
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31420-0969
Mailing Address - Country:US
Mailing Address - Phone:912-438-1003
Mailing Address - Fax:
Practice Address - Street 1:401 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:CORDELE
Practice Address - State:GA
Practice Address - Zip Code:31015-3620
Practice Address - Country:US
Practice Address - Phone:229-271-2180
Practice Address - Fax:229-276-3638
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN115669363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily