Provider Demographics
NPI:1275035198
Name:JONES, DORIS A (MSN, ARNP)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN, ARNP
Other - Prefix:
Other - First Name:DORIS
Other - Middle Name:JONES
Other - Last Name:BANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, ARNP
Mailing Address - Street 1:479 CHARLESTON CV
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-2478
Mailing Address - Country:US
Mailing Address - Phone:850-771-8295
Mailing Address - Fax:
Practice Address - Street 1:2060 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-9538
Practice Address - Country:US
Practice Address - Phone:530-841-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017900363LP0808X
MS902383363LP0808X
FL9481531363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health