Provider Demographics
NPI:1528764503
Name:JONES, CAROLYN (DNP, FNP)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 FLEMINGTON RD APT 341
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-5682
Mailing Address - Country:US
Mailing Address - Phone:339-221-3065
Mailing Address - Fax:
Practice Address - Street 1:530 1ST AVE # HCC4D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:646-929-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351247207RA0002X, 363LF0000X
MARN2318225363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207RA0002XAllopathic & Osteopathic PhysiciansInternal MedicineAdult Congenital Heart Disease
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner