Individual
KYLEE S JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1723 BROADWAY ST STE 410, CAPE GIRARDEAU, MO 63701-4556
(573) 332-7746
(573) 339-9709
Mailing address
1723 BROADWAY ST STE 410, CAPE GIRARDEAU, MO 63701-4556
(573) 332-7746
(573) 339-9709
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2016025571
MO
363LF0000X
Family Nurse Practitioner
Primary
2022027096
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S132271001
MISSOURI DRIVERS LICENSE
MO
Enumeration date
07/14/2022
Last updated
01/22/2026
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