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NPI Code Detail

MEDICARE: MRS. ELAINE K JONES FNP

MEDICARE: MRS. ELAINE K JONES FNP
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
1363L00000XNurse Practitioner179920CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00133984OTHERTNRR MEDICARE

General Provider Information

NPI Number : 1194742270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELAINE K JONES FNP
Provider Business Mailing Address
First Line : 501 28TH ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3003
Country : US
Telephone Number : 303-436-4600
Fax Number : 303-436-4610
Provider Business Practice Location Address
First Line : 501 28TH ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3003
Country : US
Telephone Number : 303-436-4600
Fax Number : 303-436-4610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 09/08/2011

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