MEDICARE: ANDREA JONES CNP

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)		OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.18202	OH
3	363L00000X	Nurse Practitioner	APRN.CNP.18202	OH

General Provider Information

NPI Number	:	1215307467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA JONES CNP

Provider Business Mailing Address
First Line	:	910 GOLDEN DR
Second Line	:
City	:	NEWARK
State	:	OH
Zip	:	43055-1746
Country	:	US
Telephone Number	:	740-334-2527
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 COUNTRY CLUB DR
Second Line	:
City	:	NEWARK
State	:	OH
Zip	:	43055-2154
Country	:	US
Telephone Number	:	740-334-2527
Fax Number	:

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

Provider Enumeration Date	:	09/30/2015
Last Update Date	:	11/29/2025

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