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NPI Code Detail

MEDICARE: PATRICIA FAITH JONES ARNP

MEDICARE: PATRICIA FAITH JONES ARNP
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
1363LF0000XFamily Nurse PractitionerARNP1318882FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124083464
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA FAITH JONES ARNP
Provider Business Mailing Address
First Line : 4205 BELFORT RD STE 4015
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-3623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6856 103RD ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-6877
Country : US
Telephone Number : 904-777-0616
Fax Number : 904-777-0688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/13/2018

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