Provider Demographics
NPI:1790556447
Name:JONES, KARINA MARIE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:KARINA
Other - Middle Name:MARIE
Other - Last Name:KLUSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 MARSHA DR
Mailing Address - Street 2:
Mailing Address - City:CRESSONA
Mailing Address - State:PA
Mailing Address - Zip Code:17929-1500
Mailing Address - Country:US
Mailing Address - Phone:570-590-1791
Mailing Address - Fax:
Practice Address - Street 1:106 S CLAUDE A LORD BLVD
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-3639
Practice Address - Country:US
Practice Address - Phone:570-728-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN687844163WE0003X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency