MEDICARE: MARCIA 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	297461-1	NY

General Provider Information

NPI Number	:	1598006587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIA JONES

Provider Business Mailing Address
First Line	:	156 E 95TH ST
Second Line	:	APT 2F
City	:	BROOKLYN
State	:	NY
Zip	:	11212-2953
Country	:	US
Telephone Number	:	347-856-9441
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 E 95TH ST
Second Line	:	APT 2F
City	:	BROOKLYN
State	:	NY
Zip	:	11212-2953
Country	:	US
Telephone Number	:	347-856-9441
Fax Number	:

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

Provider Enumeration Date	:	03/15/2013
Last Update Date	:	03/15/2013

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Directions to “ MARCIA JONES ” Practice Location

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