Healthcare Provider Details

I. General information

NPI: 1457863367
Provider Name (Legal Business Name): BRITTANY MARIE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2017
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2742 LIMERICK CIR
GRAND ISLAND FL
32735-9009
US

IV. Provider business mailing address

2742 LIMERICK CIR
GRAND ISLAND FL
32735-9009
US

V. Phone/Fax

Practice location:
  • Phone: 352-409-5490
  • Fax: 352-602-7439
Mailing address:
  • Phone: 352-409-5490
  • Fax: 352-602-7439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: