Jones, Lisa M

Jones, Lisa M is an individual health care provider with primary practice located at 101 Beckett Ln Suite 502, Fayetteville GA 30214-7155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jones, Lisa M can be contacted via phone (678) 817-1000.

Contact Information

Primary practice address
101 Beckett Ln Suite 502 Fayetteville GA 30214-7155
Phone: (678) 817-1000
Fax: (678) 817-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN224915 Georgia

Profile Details

NPI number 1679778609
LBN Legal business name Jones, Lisa M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Mar 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679778609 NPPES
Georgia MEDICAID 01857371

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