Provider Demographics
NPI:1821048646
Name:JONES, ELIZABETH B (FNP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:B
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 N DAVIS HWY
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2720
Mailing Address - Country:US
Mailing Address - Phone:850-476-9088
Mailing Address - Fax:
Practice Address - Street 1:4511 N DAVIS HWY
Practice Address - Street 2:SUITE 1-C
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2720
Practice Address - Country:US
Practice Address - Phone:850-476-9088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010016189363LF0000X
FLARNP 9335078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTONP3078Medicaid
VTONP3078Medicaid
VTNP3078Medicare PIN
VTNP307801Medicare PIN
P25312Medicare UPIN