Provider Demographics
NPI:1164862637
Name:JONES, KRISTINA M (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:M
Other - Last Name:LETCHWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AANP
Mailing Address - Street 1:2330 BERRY LN
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-1015
Mailing Address - Country:US
Mailing Address - Phone:458-226-6824
Mailing Address - Fax:
Practice Address - Street 1:1918 NE 23RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-3328
Practice Address - Country:US
Practice Address - Phone:405-453-8000
Practice Address - Fax:405-561-4984
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR103236363LF0000X
OR20901739NP-PP363LF0000X
AK177470363LF0000X
OK80697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR561266ZGV1OtherMEDICARE
OK200501810AMedicaid
AR218607758Medicaid
OK368195YLX3OtherMEDICARE