MEDICARE: CRYSTAL JONES APRN LLC

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

General Provider Information

NPI Number	:	1427998061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRYSTAL JONES APRN LLC

Provider Business Mailing Address
First Line	:	5205 JASMINE TRACE LN
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-1930
Country	:	US
Telephone Number	:	407-747-1939
Fax Number	:

Provider Business Practice Location Address
First Line	:	5205 JASMINE TRACE LN
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-1930
Country	:	US
Telephone Number	:	407-747-1939
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CRYSTAL JONES
Credential	:	APRN
Telephone Number	:	407-747-1939

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/01/2026

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