Provider Demographics
NPI:1386453553
Name:JONES, EMMA CATHLEEN (APRN)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CATHLEEN
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 HIGH PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:VINE GROVE
Mailing Address - State:KY
Mailing Address - Zip Code:40175-7555
Mailing Address - Country:US
Mailing Address - Phone:270-945-7700
Mailing Address - Fax:
Practice Address - Street 1:5602 HIGH PLAINS RD
Practice Address - Street 2:
Practice Address - City:VINE GROVE
Practice Address - State:KY
Practice Address - Zip Code:40175-7555
Practice Address - Country:US
Practice Address - Phone:270-945-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4033626363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner