MEDICARE: DR. BRANDI JONES DRPH, CHES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker
2	174H00000X	Health Educator	17295

General Provider Information

NPI Number	:	1023527462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDI JONES DRPH, CHES

Provider Business Mailing Address
First Line	:	PO BOX 24134
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-0134
Country	:	US
Telephone Number	:	404-590-2822
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 24134
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-0134
Country	:	US
Telephone Number	:	404-590-2822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	04/10/2026

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