Most Relevant Information
Provider Data
| NPI Number: | 1003488164 |
| Provider Name: | LASONYA JONES FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 221039 |
Most Important Dates
| Enumeration Date: | 07/16/2021 |
| Last Updated: | 11/17/2021 |
Provider Practice Location
7840 JEWELLA AVE
SHREVEPORT
LA
711085004
Practice Location Phone/Fax
| Phone: | 3184011432 |
| Fax: | 3185623889 |
Provider Mailing Location
5412 SUSANNA DR
BOSSIER CITY
LA
711124944
Provider Mailing Phone/Fax
| Phone: | 3184011432 |
| Fax: | 3185623889 |