MEDICARE: WHITNEY JONES MD

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	207RG0100X	Gastroenterology Physician	30853	KY

General Provider Information

NPI Number	:	1356447858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY JONES MD

Provider Business Mailing Address
First Line	:	2401 TERRA CROSSING BLVD STE 410
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40245-5371
Country	:	US
Telephone Number	:	502-888-1988
Fax Number	:	877-393-6284

Provider Business Practice Location Address
First Line	:	2401 TERRA CROSSING BLVD STE 410
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40245-5371
Country	:	US
Telephone Number	:	502-888-1988
Fax Number	:	877-393-6284

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	05/07/2018

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