Jones, Lavinia D
Jones, Lavinia D is an individual health care provider with primary practice located at 901 Jackson St , Vicksburg MS 39183-2519. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jones, Lavinia D can be contacted via phone (601) 420-5810.Contact Information
Primary practice address
901 Jackson St
Vicksburg MS 39183-2519
Phone: (601) 420-5810
Fax: (604) 420-5811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 906111 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R857248 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 906111 | Mississippi |
Profile Details
| NPI number | 1376584425 |
|---|---|
| LBN Legal business name | Jones, Lavinia D |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Mar 27th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376584425 | NPPES |
| Mississippi | Other | P00695430 | MEDICARE RAILROAD |
| Mississippi | MEDICAID | 00126795 | MEDICARE RAILROAD |
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