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NPI Code Detail

MEDICARE: SEPTEMBER JONES

MEDICARE:   SEPTEMBER  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
1163W00000XRegistered NurseR180899MD

General Provider Information

NPI Number : 1497160824
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEPTEMBER JONES
Provider Business Mailing Address
First Line : 7055 SAMUEL MORSE DR
Second Line : SUITE 200
City : COLUMBIA
State : MD
Zip : 21046-3439
Country : US
Telephone Number : 410-910-6700
Fax Number :
Provider Business Practice Location Address
First Line : 1301 YORK RD STE 8001097
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-6035
Country : US
Telephone Number : 443-927-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2014
Last Update Date : 06/01/2026

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Directions to “ SEPTEMBER JONES ” Practice Location

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