Provider Demographics
NPI:1063920536
Name:JONES, KAREN TOMLINSON (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:TOMLINSON
Last Name:JONES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 RUTLEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3051
Mailing Address - Country:US
Mailing Address - Phone:843-615-0096
Mailing Address - Fax:
Practice Address - Street 1:401 E CHEVES ST STE 201
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2615
Practice Address - Country:US
Practice Address - Phone:843-777-7951
Practice Address - Fax:843-777-7981
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily