Basic Information
Provider Information
NPI: 1346607074
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: KRIS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 770 NORTHPOINT PKWY STE 100
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334071901
CountryCode: US
TelephoneNumber: 5618025357
FaxNumber:  
Practice Location
Address1: 875 MEADOWS RD STE 325
Address2:  
City: BOCA RATON
State: FL
PostalCode: 334862349
CountryCode: US
TelephoneNumber: 5616553331
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/26/2016
LastUpdateDate: 07/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XARNP3063582FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LX0001XAPRN3063582FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


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