Provider Demographics
NPI:1225709348
Name:JONES, LAURA ELIZABETH (FNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELIZABETH
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ELIZABETH
Other - Last Name:LAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 ROCK BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:OLIVER SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37840-3318
Mailing Address - Country:US
Mailing Address - Phone:865-432-5161
Mailing Address - Fax:865-351-0019
Practice Address - Street 1:515 ROCK BRIDGE RD
Practice Address - Street 2:
Practice Address - City:OLIVER SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37840-3318
Practice Address - Country:US
Practice Address - Phone:865-432-5161
Practice Address - Fax:865-351-0019
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT31710BOtherMEDICARE PTAN