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NPI Code Detail

MEDICARE: LISA SUE JONES NP

MEDICARE: LISA SUE JONES NP
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 Practitioner71001246IN
2363LF0000XFamily Nurse Practitioner71001246AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01292242OTHERINRAILROAD MEDICARE FOR CRITICAL CARE GROUP

Other Identifiers

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

General Provider Information

NPI Number : 1336197672
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA SUE JONES NP
Provider Business Mailing Address
First Line : 411 PLAZA DR
Second Line : SUITE H
City : COLUMBUS
State : IN
Zip : 47201-2916
Country : US
Telephone Number : 812-376-5974
Fax Number : 812-375-3203
Provider Business Practice Location Address
First Line : 2400 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5351
Country : US
Telephone Number : 812-376-5974
Fax Number : 812-375-3203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 06/10/2016

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