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NPI Code Detail

MEDICARE: MISS NANCY MARIE JONES LAT, ATC, MS, CES

MEDICARE: MISS NANCY MARIE JONES LAT, ATC, MS, CES
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
12255A2300XAthletic Trainer2137NC

General Provider Information

NPI Number : 1366863540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NANCY MARIE JONES LAT, ATC, MS, CES
Provider Business Mailing Address
First Line : 614 HOWARD ST
Second Line :
City : BOONE
State : NC
Zip : 28608-0020
Country : US
Telephone Number : 828-262-3100
Fax Number : 828-262-6958
Provider Business Practice Location Address
First Line : 614 HOWARD ST
Second Line :
City : BOONE
State : NC
Zip : 28608-0020
Country : US
Telephone Number : 828-262-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2013
Last Update Date : 12/14/2013

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Directions to “ MISS NANCY MARIE JONES LAT, ATC, MS, CES” Practice Location

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