Provider Demographics
NPI:1164095915
Name:JONES, MCKINLEY NEAL (CRNP)
Entity Type:Individual
Prefix:
First Name:MCKINLEY
Middle Name:NEAL
Last Name:JONES
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 COUNTY ROAD 262
Mailing Address - Street 2:
Mailing Address - City:HANCEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35077-3415
Mailing Address - Country:US
Mailing Address - Phone:256-781-0718
Mailing Address - Fax:256-781-0719
Practice Address - Street 1:24 COUNTY ROAD 262
Practice Address - Street 2:
Practice Address - City:HANCEVILLE
Practice Address - State:AL
Practice Address - Zip Code:35077-3415
Practice Address - Country:US
Practice Address - Phone:256-781-0718
Practice Address - Fax:256-781-0719
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-143580207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1508338278OtherGROUP NPI