Lisa M Jones, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN224915 Issued in GA

Practice address

101 Beckett LN
Suite 502
Fayetteville, GA 30214-7155

Phone

(678) 817-1000

Fax

(678) 817-1001

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1679778609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "SUITE 502",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147155",
            "telephone_number": "678-817-1000",
            "fax_number": "678-817-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "SUITE 502",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147155",
            "telephone_number": "678-817-1000",
            "fax_number": "678-817-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN224915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857371",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Raven Natasha Jordan, PHARMD
• Roger Stephen Jordan, PHARMACIST
• Joseph D Giovinco DPM PC
• Akricia M Joseph, MHS, BCBA
• Olumuyiwa Joshua, MD

• Pediatric Nurse Practitioner in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.