MEDICARE: CAMILLE 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	1041C0700X	Clinical Social Worker	63752

General Provider Information

NPI Number	:	1477026656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLE JONES

Provider Business Mailing Address
First Line	:	5830 GRANITE PKWY # 100-378
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6771
Country	:	US
Telephone Number	:	682-308-2395
Fax Number	:

Provider Business Practice Location Address
First Line	:	5830 GRANITE PKWY # 100-378
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6771
Country	:	US
Telephone Number	:	682-308-2395
Fax Number	:

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

Provider Enumeration Date	:	01/09/2019
Last Update Date	:	02/24/2026

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Directions to “ CAMILLE JONES ” Practice Location

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