Provider Demographics
NPI:1952987042
Name:JONES, ANTINEA MARSHELLA (DNP, APRN, AGPCNP-BC)
Entity type:Individual
Prefix:DR
First Name:ANTINEA
Middle Name:MARSHELLA
Last Name:JONES
Suffix:
Gender:
Credentials:DNP, APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8395 W SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2096
Mailing Address - Country:US
Mailing Address - Phone:702-373-4544
Mailing Address - Fax:714-202-4502
Practice Address - Street 1:8395 W SUNSET RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2096
Practice Address - Country:US
Practice Address - Phone:702-373-4544
Practice Address - Fax:714-202-4502
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-20
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29333363LA2200X, 363LG0600X, 363LP2300X
NV843393363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty