MEDICARE: MRS. JENNIFER KAYLIN JONES FNP

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	1078761	TX
2	363L00000X	Nurse Practitioner	1078761	TX

General Provider Information

NPI Number	:	1508503004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER KAYLIN JONES FNP

Provider Business Mailing Address
First Line	:	213 LAVENDER DR
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-2173
Country	:	US
Telephone Number	:	214-609-6822
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 LAVENDER DR
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-2173
Country	:	US
Telephone Number	:	214-609-6822
Fax Number	:

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

Provider Enumeration Date	:	05/16/2022
Last Update Date	:	03/25/2026

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