Provider Demographics
NPI:1265707319
Name:JONES, KATHLEEN A (FNP-BC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E BEECHWOLD BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2119
Mailing Address - Country:US
Mailing Address - Phone:614-267-7432
Mailing Address - Fax:
Practice Address - Street 1:10 CADILLAC DR
Practice Address - Street 2:SUITE 350
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5078
Practice Address - Country:US
Practice Address - Phone:615-523-5676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH331729163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse