MEDICARE: MRS. RENEE SCOTT JONES M.S.

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	170300000X	Genetic Counselor (M.S.)	74000015A	IN

General Provider Information

NPI Number	:	1578552733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RENEE SCOTT JONES M.S.

Provider Business Mailing Address
First Line	:	7120 CLEARVISTA DRIVE
Second Line	:	SUITE 5900
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-1714
Country	:	US
Telephone Number	:	317-621-9210
Fax Number	:	317-621-9211

Provider Business Practice Location Address
First Line	:	7120 CLEARVISTA DRIVE
Second Line	:	SUITE 5900
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-1714
Country	:	US
Telephone Number	:	317-621-9210
Fax Number	:	317-621-9211

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	04/21/2011

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