Provider Demographics
NPI:1396160875
Name:JONES-MASON, ROYMELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:ROYMELLE
Middle Name:
Last Name:JONES-MASON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 WINCHESTER CIR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-6625
Mailing Address - Country:US
Mailing Address - Phone:318-547-3909
Mailing Address - Fax:318-547-5909
Practice Address - Street 1:2803 EVANGELINE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3749
Practice Address - Country:US
Practice Address - Phone:318-325-0325
Practice Address - Fax:318-325-0316
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPO7508363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily