MEDICARE: CARMEN F. JONES M.D.

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	208000000X	Pediatrics Physician	10127	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326177312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN F. JONES M.D.

Provider Business Mailing Address
First Line	:	7500 W LAKE MEAD BLVD # 9-454
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	702-773-1144
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 E PATRICK LN STE 9
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3927
Country	:	US
Telephone Number	:	702-207-4000
Fax Number	:

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	01/28/2019

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Directions to “ CARMEN F. JONES M.D.” Practice Location

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