MEDICARE: MS. CARI SUE 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
1	363LF0000X	Family Nurse Practitioner	95018657	CA
2	363LF0000X	Family Nurse Practitioner	847206	NV

General Provider Information

NPI Number	:	1477216794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARI SUE JONES FNP-BC

Provider Business Mailing Address
First Line	:	9055 W POST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2437
Country	:	US
Telephone Number	:	702-514-4176
Fax Number	:

Provider Business Practice Location Address
First Line	:	9055 W POST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2437
Country	:	US
Telephone Number	:	702-514-4176
Fax Number	:

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

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	03/14/2023

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