MEDICARE: MRS. TERRI LYNN JONES ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP1746902	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053547695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERRI LYNN JONES ARNP

Provider Business Mailing Address
First Line	:	PO BOX 1133
Second Line	:
City	:	SAN ANTONIO
State	:	FL
Zip	:	33576-1133
Country	:	US
Telephone Number	:	352-588-4586
Fax Number	:

Provider Business Practice Location Address
First Line	:	12880 US HIGHWAY 301
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-5801
Country	:	US
Telephone Number	:	352-567-3325
Fax Number	:	352-567-3385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	07/28/2016

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