MEDICARE: MS. KRISTIN SUE JONES R.N.

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	163W00000X	Registered Nurse	189908-30	WI

General Provider Information

NPI Number	:	1467713016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTIN SUE JONES R.N.

Provider Business Mailing Address
First Line	:	5251 BISHOPS BAY PKWY APT 200
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53597-8843
Country	:	US
Telephone Number	:	608-215-3117
Fax Number	:

Provider Business Practice Location Address
First Line	:	5251 BISHOPS BAY PKWY APT 200
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53597-8843
Country	:	US
Telephone Number	:	608-215-3117
Fax Number	:

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

Provider Enumeration Date	:	05/30/2012
Last Update Date	:	08/21/2024

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