Provider Demographics
NPI:1740732189
Name:MCCLUSKEY-JONES, KIMBERLY ANN (MSN,FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:MCCLUSKEY-JONES
Suffix:
Gender:
Credentials:MSN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 INDUSTRIAL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35983-3742
Mailing Address - Country:US
Mailing Address - Phone:256-526-3331
Mailing Address - Fax:800-684-7869
Practice Address - Street 1:215 INDUSTRIAL BLVD STE C
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:AL
Practice Address - Zip Code:35983-3742
Practice Address - Country:US
Practice Address - Phone:256-526-3331
Practice Address - Fax:800-684-7869
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-067244363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care