Provider Demographics
NPI:1346007531
Name:JONAS, KRISTINA (RN-BSN, BC-FMNS)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:JONAS
Suffix:
Gender:F
Credentials:RN-BSN, BC-FMNS
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:HAVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7584 19TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-3864
Mailing Address - Country:US
Mailing Address - Phone:219-363-1047
Mailing Address - Fax:
Practice Address - Street 1:7584 19TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-3864
Practice Address - Country:US
Practice Address - Phone:219-363-1047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9565591163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse