Provider Demographics
NPI:1346963519
Name:JONES, KIZMET LASHON (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KIZMET
Middle Name:LASHON
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14152 STRAFFORD LN
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-8462
Mailing Address - Country:US
Mailing Address - Phone:901-292-7764
Mailing Address - Fax:
Practice Address - Street 1:BYHALIA FAMILY HEALTH CENTER
Practice Address - Street 2:12 EAST BRUNSWICK ST
Practice Address - City:BYHALIA
Practice Address - State:MS
Practice Address - Zip Code:38611
Practice Address - Country:US
Practice Address - Phone:662-838-2163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS873245163W00000X
MSPENDING363LP2300X
MS905586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care