Doctor Name: | JENNIFER L JONES |
NPI Number: | 1154585701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,BC |
License Number: | 209-006862 |
Business Practice Address: | 6950 Outreach Way North Port, FL - 342873405 |
Business Phone Number: | 9418612900 |
Business Fax Number: | 9418612869 |
Mailing Address: | 2200 Ringling Blvd, SARASOTA |
State: | FL |
Postal Code: | 342376102 |
Phone Number: | 9418612900 |
Fax Number: | 9418612869 |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209-006862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |