Provider Demographics
NPI:1750355616
Name:JONES, KATHLEEN A (ARNP)
Entity type:Individual
Prefix:PROF
First Name:KATHLEEN
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2101 PARK CENTER DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-7626
Mailing Address - Country:US
Mailing Address - Phone:407-297-0080
Mailing Address - Fax:407-292-4912
Practice Address - Street 1:2101 PARK CENTER DR
Practice Address - Street 2:SUITE 130
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-7626
Practice Address - Country:US
Practice Address - Phone:407-297-0080
Practice Address - Fax:407-292-4912
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 3168722208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 3168722OtherMEDICAL LICENSE