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NPI Code Detail

MEDICARE: KRISTIN KAY JONES INC

MEDICARE: KRISTIN KAY JONES INC
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 PractitionerARNP9247445FL

General Provider Information

NPI Number : 1306136908
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRISTIN KAY JONES INC
Provider Business Mailing Address
First Line : 11088 COLDFIELD DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-7693
Country : US
Telephone Number : 904-588-3218
Fax Number : 904-641-9791
Provider Business Practice Location Address
First Line : 4217 BAYMEADOWS RD
Second Line : SUITE
City : JACKSONVILLE
State : FL
Zip : 32217-4676
Country : US
Telephone Number : 904-588-3218
Fax Number : 904-641-9791
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : KRISTIN K JONES
Credential : ARNP
Telephone Number : 904-588-3218
Provider Enumeration Date : 04/15/2011
Last Update Date : 04/15/2011

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Directions to “KRISTIN KAY JONES INC ” Practice Location

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