Provider Demographics
NPI:1326577545
Name:JONES, DONITA KINYELL
Entity Type:Individual
Prefix:MRS
First Name:DONITA
Middle Name:KINYELL
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4190 BELFORT RD STE 140
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-5871
Mailing Address - Country:US
Mailing Address - Phone:904-296-2999
Mailing Address - Fax:904-296-3623
Practice Address - Street 1:4190 BELFORT RD STE 140
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-296-2999
Practice Address - Fax:904-296-3623
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9169558363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health