Provider Demographics
NPI:1780145672
Name:JONES, CAITLIN RICHELLE MENSIE (RN)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:RICHELLE MENSIE
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:RICHELLE
Other - Last Name:MENSIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1802 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1932
Mailing Address - Country:US
Mailing Address - Phone:205-934-3411
Mailing Address - Fax:
Practice Address - Street 1:1701 MAIN AVE SW STE E
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-5385
Practice Address - Country:US
Practice Address - Phone:256-737-4100
Practice Address - Fax:256-737-4101
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-25
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-166720163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty