Provider Demographics
NPI:1083668966
Name:JONES-SCHUBART, KARA (NP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:JONES-SCHUBART
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:16939 SW 134TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARCHER
Mailing Address - State:FL
Mailing Address - Zip Code:32618-5413
Mailing Address - Country:US
Mailing Address - Phone:352-265-2500
Mailing Address - Fax:352-294-8105
Practice Address - Street 1:16939 SW 134TH AVE
Practice Address - Street 2:
Practice Address - City:ARCHER
Practice Address - State:FL
Practice Address - Zip Code:32618-5413
Practice Address - Country:US
Practice Address - Phone:352-265-2500
Practice Address - Fax:352-294-8105
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9518240163W00000X
FLAPRN11004211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP0744Medicaid
SCNP0744Medicaid
SCAA02146580Medicare PIN