MEDICARE: AMIE NICHOLE JONES APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	79829	KS

General Provider Information

NPI Number	:	1730785247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIE NICHOLE JONES APRN

Provider Business Mailing Address
First Line	:	411 N OSAGE RD
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-2084
Country	:	US
Telephone Number	:	316-788-1907
Fax Number	:	316-788-1941

Provider Business Practice Location Address
First Line	:	411 N OSAGE RD
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-2084
Country	:	US
Telephone Number	:	316-788-1907
Fax Number	:	316-788-1941

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

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	06/03/2026

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Directions to “ AMIE NICHOLE JONES APRN” Practice Location

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