Provider Demographics
NPI:1073510392
Name:JONES, ANN L (ARNP)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:C100
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-278-4960
Mailing Address - Fax:859-278-0033
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:C100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-278-4960
Practice Address - Fax:859-278-0033
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1033529163W00000X
KY1778P363LA2200X
KY1778S364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCJ2601OtherRAILROAD MEDICARE
KY78002326Medicaid
KYCF7805OtherRAILROAD MEDICARE
KYCN8331OtherRAILROAD MEDICARE
KYS52807Medicare UPIN
KY78002326Medicaid
KY500004183Medicare PIN