CRYSTAL VELIKY JONES FNP NPI 1790031904

NPI Information

NPI: 1790031904
Provider Name: CRYSTAL VELIKY JONES, FNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
9 SAN BARTOLA DR
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 825-4500
Get Directions

Crystal Veliky Jones, FNP is an adult health nurse practitioner in St Augustine, FL. Crystal Veliky Jones, FNP NPI is 1790031904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 SAN BARTOLA DR
ST AUGUSTINE, FL
ZIP 32086-767
Phone: (904) 825-4500
Fax: (904) 825-3672

The NPI 1790031904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2012 and was last updated on 7/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	APRN11012298	FLORIDA	Yes
2	363LF0000X	Nurse Practitioner	Family	0024170192	VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110367100	MEDICAID	FLORIDA
2	V535U	OTHER	FLORIDA	FL BLUE
3	NV057	OTHER	FLORIDA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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