Healthcare Provider Details

I. General information

NPI: 1629617105
Provider Name (Legal Business Name): CHELSEA RENEE JONES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2019
Last Update Date: 11/11/2023
Certification Date: 11/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15450 TAMIAMI TRL N
NAPLES FL
34110-6217
US

IV. Provider business mailing address

340 TAMIAMI TRL N STE 162
NAPLES FL
34102-5803
US

V. Phone/Fax

Practice location:
  • Phone: 239-316-3323
  • Fax: 239-235-0098
Mailing address:
  • Phone: 239-316-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11004318
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11004318
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: