Provider Demographics
NPI:1811483589
Name:JONES, KIMBERLY MICHELLE (MSN, RN, FNP)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:MICHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN, RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:110 DEER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5514
Mailing Address - Country:US
Mailing Address - Phone:512-458-8400
Mailing Address - Fax:512-244-3144
Practice Address - Street 1:110 DEER RIDGE DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5514
Practice Address - Country:US
Practice Address - Phone:512-458-8400
Practice Address - Fax:512-244-3144
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX837881163W00000X
TXAP137965363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse