MEDICARE: TEARA 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	251S00000X	Community/Behavioral Health Agency
2	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1629708813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEARA JONES

Provider Business Mailing Address
First Line	:	156 THRUSH CIR
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-7796
Country	:	US
Telephone Number	:	614-218-2663
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 THRUSH CIR
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-7796
Country	:	US
Telephone Number	:	614-218-2663
Fax Number	:

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

Provider Enumeration Date	:	06/12/2022
Last Update Date	:	06/14/2026

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Directions to “ TEARA JONES ” Practice Location

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