MEDICARE: JULIETA JONES RN, BSN

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	163W00000X	Registered Nurse	041524721	IL

General Provider Information

NPI Number	:	1407649221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIETA JONES RN, BSN

Provider Business Mailing Address
First Line	:	2853 141ST PL
Second Line	:
City	:	BLUE ISLAND
State	:	IL
Zip	:	60406-3311
Country	:	US
Telephone Number	:	708-985-6581
Fax Number	:

Provider Business Practice Location Address
First Line	:	2853 141ST PL
Second Line	:
City	:	BLUE ISLAND
State	:	IL
Zip	:	60406-3311
Country	:	US
Telephone Number	:	708-985-6581
Fax Number	:	708-985-6581

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

Provider Enumeration Date	:	05/24/2025
Last Update Date	:	05/24/2025

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