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NPI Code Detail

MEDICARE: MRS. REBECCA HOPKINS JONES LISW

MEDICARE: MRS. REBECCA HOPKINS JONES LISW
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
11041C0700XClinical Social WorkerSW14264FL

General Provider Information

NPI Number : 1720366750
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA HOPKINS JONES LISW
Provider Business Mailing Address
First Line : 204 SHELL BLUFF CT
Second Line :
City : PONTE VEDRA BEACH
State : FL
Zip : 32082-3686
Country : US
Telephone Number : 904-853-0505
Fax Number :
Provider Business Practice Location Address
First Line : 4300 MARSH LANDING BLVD
Second Line : STE 204
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-1420
Country : US
Telephone Number : 904-853-0505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2011
Last Update Date : 10/02/2018

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