Provider Demographics
NPI:1588979736
Name:JONES, KATIE
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 GOLFVIEW DR NE
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5473
Mailing Address - Country:US
Mailing Address - Phone:256-931-5437
Mailing Address - Fax:833-753-1386
Practice Address - Street 1:121 GOLFVIEW DR NE
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5473
Practice Address - Country:US
Practice Address - Phone:256-931-5437
Practice Address - Fax:833-753-1386
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2389757363LP0808X
CT212569363LP0808X
NY407137363LP0808X
NM81510363LP0808X
WA61601499363LP0808X
RI04350363LP0808X
TX1204144363LP0808X
AL1112934363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health