MEDICARE: DARIAN HILTON JONES APRN

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	APRN11000616	FL
2	363L00000X	Nurse Practitioner	APRN11000616	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	:	1487128393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIAN HILTON JONES APRN

Provider Business Mailing Address
First Line	:	1204 CARLTON AVE
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-4318
Country	:	US
Telephone Number	:	863-456-4091
Fax Number	:	863-456-4089

Provider Business Practice Location Address
First Line	:	1204 CARLTON AVE
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-4318
Country	:	US
Telephone Number	:	863-456-4091
Fax Number	:	863-456-4089

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

Provider Enumeration Date	:	01/14/2019
Last Update Date	:	06/03/2026

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Directions to “ DARIAN HILTON JONES APRN” Practice Location

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