MEDICARE: MS. DOLORES C 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	363LP0200X	Pediatric Nurse Practitioner	ARNP2131402	FL

General Provider Information

NPI Number	:	1568453504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DOLORES C JONES ARNP

Provider Business Mailing Address
First Line	:	622 2ND AVE N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250
Country	:	US
Telephone Number	:	904-537-8714
Fax Number	:	904-646-4288

Provider Business Practice Location Address
First Line	:	8344 WHITMIRE CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-1159
Country	:	US
Telephone Number	:	904-642-0002
Fax Number	:	904-646-4288

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	06/20/2022

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