Healthcare Provider Details

I. General information

NPI: 1750164109
Provider Name (Legal Business Name): KRYSTIN MARIE JONES MHA, DNP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4070 HIGHWAY 17
MURRELLS INLET SC
29576-5033
US

IV. Provider business mailing address

704 MAMMOTH OAKS DR
CONCORD NC
28025-6930
US

V. Phone/Fax

Practice location:
  • Phone: 843-652-1000
  • Fax:
Mailing address:
  • Phone: 704-773-3608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number32772
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: