Provider Demographics
NPI:1225008345
Name:JONES, AMY L (ARNP)
Entity Type:Individual
Prefix:MS
First Name:AMY
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 1:2414 HIGHWAY 99
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KS
Mailing Address - Zip Code:66427-8905
Mailing Address - Country:US
Mailing Address - Phone:785-292-4287
Mailing Address - Fax:
Practice Address - Street 1:606 1ST ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:KS
Practice Address - Zip Code:66415-9637
Practice Address - Country:US
Practice Address - Phone:785-857-3334
Practice Address - Fax:785-889-3397
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45079207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100370390AMedicaid
KSP14663Medicare UPIN