MEDICARE: TANYA MICHELLE 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
1	251E00000X	Home Health Agency	AB18-000296	GA

General Provider Information

NPI Number	:	1316505704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA MICHELLE JONES

Provider Business Mailing Address
First Line	:	423 CANNON CIR
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31705-4071
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 CANNON CIR
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31705-4071
Country	:	US
Telephone Number	:	229-603-3231
Fax Number	:

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

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	05/31/2019

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