Healthcare Provider Details

I. General information

NPI: 1386852168
Provider Name (Legal Business Name): KATHLEEN A JONES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KASEY JONES

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/16/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7341 MARIPOSA AVE
CITRUS HEIGHTS CA
95610-2344
US

IV. Provider business mailing address

7341 MARIPOSA AVE
CITRUS HEIGHTS CA
95610-2344
US

V. Phone/Fax

Practice location:
  • Phone: 916-459-7871
  • Fax:
Mailing address:
  • Phone: 916-459-7871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number543490
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: