Provider Demographics
NPI:1568841286
Name:JONES, AMY (APRN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:CESELSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, CPNP-PC
Mailing Address - Street 1:2009 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-4131
Mailing Address - Country:US
Mailing Address - Phone:918-816-4024
Mailing Address - Fax:
Practice Address - Street 1:2009 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401
Practice Address - Country:US
Practice Address - Phone:918-816-4024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK94527363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics