MEDICARE: CATHERINE S JONES PHD, RN, ANP-C

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	363LA2200X	Adult Health Nurse Practitioner	AP100568	TX

General Provider Information

NPI Number	:	1508964875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE S JONES PHD, RN, ANP-C

Provider Business Mailing Address
First Line	:	601 OMEGA DR
Second Line	:	SUITE 206
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2075
Country	:	US
Telephone Number	:	817-465-5881
Fax Number	:	817-465-6336

Provider Business Practice Location Address
First Line	:	1604 HOSPITAL PKWY
Second Line	:	STE 403
City	:	BEDFORD
State	:	TX
Zip	:	76022-6932
Country	:	US
Telephone Number	:	817-354-9545
Fax Number	:	817-354-8157

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/07/2015

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