MEDICARE: MS. VERKEITTA JONES MSN, APRN, PMHNP-BC

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	163WG0000X	General Practice Registered Nurse	RN3552434	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11031401	FL

General Provider Information

NPI Number	:	1386232213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VERKEITTA JONES MSN, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	1250 CHENEY HWY
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-8917
Country	:	US
Telephone Number	:	984-221-9829
Fax Number	:

Provider Business Practice Location Address
First Line	:	2013 LIVE OAK BLVD STE B&C
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8408
Country	:	US
Telephone Number	:	407-593-2388
Fax Number	:

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

Provider Enumeration Date	:	01/06/2021
Last Update Date	:	02/24/2024

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