MEDICARE: BARBARA 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	163W00000X	Registered Nurse	4704334912	MI

General Provider Information

NPI Number	:	1710486840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA JONES

Provider Business Mailing Address
First Line	:	220 W SCOTT ST
Second Line	:
City	:	GRAND LEDGE
State	:	MI
Zip	:	48837-1565
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 W SCOTT ST
Second Line	:
City	:	GRAND LEDGE
State	:	MI
Zip	:	48837-1565
Country	:	US
Telephone Number	:	517-282-8919
Fax Number	:

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

Provider Enumeration Date	:	02/05/2018
Last Update Date	:	02/05/2018

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