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NPI Code Detail

MEDICARE: VICKIE JONES

MEDICARE:   VICKIE  JONES
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1104780097
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE JONES
Provider Business Mailing Address
First Line : 19242 SCOTTSDALE BLVD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-6418
Country : US
Telephone Number : 216-233-2258
Fax Number :
Provider Business Practice Location Address
First Line : 23611 CHAGRIN BLVD
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5540
Country : US
Telephone Number : 866-534-2639
Fax Number : 800-480-7578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ VICKIE JONES ” Practice Location

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