1346667813 NPI number — MRS. NATASHA WILLIAMS JONES FNP-C FAMILY HEALTH

Table of content: MRS. NATASHA WILLIAMS JONES FNP-C FAMILY HEALTH (NPI 1346667813)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346667813 NPI number — MRS. NATASHA WILLIAMS JONES FNP-C FAMILY HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
NATASHA
Provider Middle Name:
WILLIAMS
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-C FAMILY HEALTH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346667813
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23860 PUNCHY WILSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLAQUEMINE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70764-3456
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-907-9809
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32985 BOWIE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE CASTLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70788-2320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-545-3631
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/23/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP07761 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: AP126044 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2380672 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: F0214176 . This is a "AANP CERTIFICATION NUMBER" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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