MEDICARE: HOPE MARIE JONES

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	164W00000X	Licensed Practical Nurse	2017038238	MO

General Provider Information

NPI Number	:	1437815537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE MARIE JONES

Provider Business Mailing Address
First Line	:	1601 OLD SOUTH RIVER RD
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-4120
Country	:	US
Telephone Number	:	636-246-1210
Fax Number	:	636-246-1008

Provider Business Practice Location Address
First Line	:	3531 STARDUST DR
Second Line	:
City	:	HANNIBAL
State	:	MO
Zip	:	63401-6224
Country	:	US
Telephone Number	:	573-603-1460
Fax Number	:	573-603-1462

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

Provider Enumeration Date	:	11/12/2021
Last Update Date	:	11/12/2021

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Directions to “ HOPE MARIE JONES ” Practice Location

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