MEDICARE: TIFFANY B JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11042597	FL

General Provider Information

NPI Number	:	1013869817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY B JONES

Provider Business Mailing Address
First Line	:	11007 KEY CORAL DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-4440
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11007 KEY CORAL DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-4440
Country	:	US
Telephone Number	:	904-864-1017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ TIFFANY B JONES ” Practice Location

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