Rochelle Jones, LPN

Individual provider Active NPI Licensed Practical Nurse · Hazlehurst, MS

NPI 1124769435 · NPPES record last updated Jun 13, 2023

Key facts

NPI
1124769435
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
P321342 (MS)
Practice address
326 Asbury Dr
Hazlehurst, MS 39083-2408
Phone
(601) 214-2946
NPI assigned
Apr 2, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P321342MSMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X P321342 MS Yes

Addresses

Primary practice location

326 Asbury Dr
Hazlehurst, MS 39083-2408

Mailing address

326 Asbury Dr
Hazlehurst, MS 39083-2408
Phone (601) 214-2946

Other providers in Hazlehurst, MS

All providers in Hazlehurst, MS · Licensed Practical Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.