Healthcare Provider Details

I. General information

NPI: 1144083551
Provider Name (Legal Business Name): ANITA JONES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 MIZELL AVE STE 1600A
WINTER PARK FL
32792-4126
US

IV. Provider business mailing address

4023 W 141ST ST APT 11
HAWTHORNE CA
90250-7963
US

V. Phone/Fax

Practice location:
  • Phone: 407-646-7380
  • Fax: 407-646-7381
Mailing address:
  • Phone: 305-281-3526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95028247
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11030079
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: