Provider Demographics
NPI:1750509220
Name:JONES, ELENA E (ARNP)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1290 GOLFVIEW AVE
Mailing Address - Street 2:BILLING DEPT
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-6738
Mailing Address - Country:US
Mailing Address - Phone:863-519-7900
Mailing Address - Fax:863-519-7696
Practice Address - Street 1:1700 BAKER AVE EAST
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-4325
Practice Address - Country:US
Practice Address - Phone:863-421-3204
Practice Address - Fax:863-421-3210
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1521472363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305284200Medicaid
FL305284200Medicaid