MEDICARE: MRS. KRISTINA M JONES APRN-CNP

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	103236	AR
2	363LF0000X	Family Nurse Practitioner	20901739NP-PP	OR
3	363LF0000X	Family Nurse Practitioner	177470	AK
4	363LF0000X	Family Nurse Practitioner	80697	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	561266ZGV1	OTHER	AR	MEDICARE
4	368195YLX3	OTHER	OK	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1164862637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINA M JONES APRN-CNP

Provider Business Mailing Address
First Line	:	2330 BERRY LN
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73130-1015
Country	:	US
Telephone Number	:	458-226-6824
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 NE 23RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-3328
Country	:	US
Telephone Number	:	405-453-8000
Fax Number	:	405-561-4984

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

Provider Enumeration Date	:	06/28/2013
Last Update Date	:	02/13/2025

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Directions to “ MRS. KRISTINA M JONES APRN-CNP” Practice Location

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