Provider Demographics
NPI:1982297057
Name:JONES, EMILY NICHOLE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:NICHOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 N MAIZE RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-5203
Mailing Address - Country:US
Mailing Address - Phone:316-462-1050
Mailing Address - Fax:
Practice Address - Street 1:1901 N MAIZE RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-5203
Practice Address - Country:US
Practice Address - Phone:316-462-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-135731-032207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine