PHYLLIS JONES CRNP NPI 1396710745

NPI Information

NPI: 1396710745
Provider Name: PHYLLIS JONES, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
111 S CHURCH ST
LOUISBURG, NC
ZIP 27549
Phone: (919) 833-3111
Get Directions

Phyllis Jones, CRNP is a family nurse practitioner in Louisburg, NC. Phyllis Jones, CRNP NPI is 1396710745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 S CHURCH ST
LOUISBURG, NC
ZIP 27549-501
Phone: (919) 833-3111
Fax: (919) 340-0271

The enumeration date for this NPI number is 2/21/2006 and was last updated on 11/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	290247	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	R093435	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0011	OTHER		CAREFIRST
2	6033167001	OTHER		CIGNA
3	006098A94	MEDICARE ID-TYPE UNSPECIFIED
4	60851801	OTHER		CAREFIRST
5	345202600	MEDICAID	MARYLAND
6	P19825	MEDICARE UPIN
7	500018457	MEDICARE ID-TYPE UNSPECIFIED		RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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