Provider Demographics
NPI:1982297230
Name:JONES, MEREDITH KATHLEEN (DNP, APRN)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:KATHLEEN
Last Name:JONES
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1875 BEACHSIDE CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-5954
Mailing Address - Country:US
Mailing Address - Phone:303-668-3878
Mailing Address - Fax:
Practice Address - Street 1:JACKSONVILLE CARDIOVASCULAR CENTER
Practice Address - Street 2:6444 BEACH BLVD
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-805-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008672363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner