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NPI Code Detail

MEDICARE: CLARA JONES

MEDICARE: CLARA 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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1316527914
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARA JONES
Provider Business Mailing Address
First Line : 200 ASSOCIATION DR STE 130
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1277
Country : US
Telephone Number : 304-988-4200
Fax Number :
Provider Business Practice Location Address
First Line : 200 ASSOCIATION DR STE 130
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1277
Country : US
Telephone Number : 304-988-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2021
Last Update Date : 04/09/2021

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Directions to “ CLARA JONES ” Practice Location

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