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NPI Code Detail

MEDICARE: KATHLEEN MARIA JONES FNP-BC

MEDICARE: KATHLEEN MARIA JONES FNP-BC
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 PractitionerAP142775TX

General Provider Information

NPI Number : 1144878232
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARIA JONES FNP-BC
Provider Business Mailing Address
First Line : 460 NORTHWEST PKWY
Second Line :
City : AZLE
State : TX
Zip : 76020-3136
Country : US
Telephone Number : 817-444-7099
Fax Number :
Provider Business Practice Location Address
First Line : 460 NORTHWEST PKWY
Second Line :
City : AZLE
State : TX
Zip : 76020-3136
Country : US
Telephone Number : 817-444-7099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2019
Last Update Date : 06/03/2021

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