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NPI Code Detail

MEDICARE: MICHELLE JONES-CONYERS LPN

MEDICARE: MICHELLE JONES-CONYERS LPN
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
1164W00000XLicensed Practical Nurse65798NC

General Provider Information

NPI Number : 1306532114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE JONES-CONYERS LPN
Provider Business Mailing Address
First Line : 6118 SAINT GILES ST STE 130
Second Line :
City : RALEIGH
State : NC
Zip : 27612-7099
Country : US
Telephone Number : 991-781-5507
Fax Number : 919-882-8117
Provider Business Practice Location Address
First Line : 6118 SAINT GILES ST STE 130
Second Line :
City : RALEIGH
State : NC
Zip : 27612-7099
Country : US
Telephone Number : 991-781-5507
Fax Number : 919-882-8117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2023
Last Update Date : 04/14/2023

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Directions to “ MICHELLE JONES-CONYERS LPN” Practice Location

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