MEDICARE: JEREMY ANDREW JONES CRNA

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	367500000X	Certified Registered Nurse Anesthetist	GAA-CRNA00065	GA
2	367500000X	Certified Registered Nurse Anesthetist	ARNP9258454	FL
3	163W00000X	Registered Nurse	RN9258454	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	:	1730458324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY ANDREW JONES CRNA

Provider Business Mailing Address
First Line	:	6284 WHITTONDALE DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-1571
Country	:	US
Telephone Number	:	850-960-7440
Fax Number	:

Provider Business Practice Location Address
First Line	:	2910 KERRY FOREST PKWY # D4-149
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-6892
Country	:	US
Telephone Number	:	850-960-7440
Fax Number	:

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

Provider Enumeration Date	:	12/28/2011
Last Update Date	:	02/13/2026

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