National Provider Identifier

Kevin Patrick Jones, FNP

Kevin Patrick Jones, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 277-2365.

NPI 1710524616Ithaca, NYFamily Nurse Practitioner

Profile Overview

NPI
1710524616
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
December 10, 2019
Last Updated
December 16, 2019

Practice Location

  • 101 Dates Dr
  • Ithaca, NY 14850-1342

Phone: (607) 277-2365

Mailing Address

  • 18 Lawton Ave
  • Auburn, NY 13021-2847

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1710524616
Entity Type
Individual
Last Name
Jones
First Name
Kevin
Middle Name
Patrick
Name Prefix
Mr.
Credential
FNP
Mailing Street Address
18 Lawton Ave
Mailing City
Auburn
Mailing State
NY
Mailing ZIP Code
13021-2847
Mailing Country
US
Mailing Phone
(315) 730-6589
Practice Street Address
101 Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1342
Practice Country
US
Practice Phone
(607) 277-2365
Enumeration Date
December 10, 2019
Last Updated
December 16, 2019
Sex
Male
Sole Proprietor
No
Certification Date
December 16, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)