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NPI Code Detail

MEDICARE: JESSICA NICOLE JONES

MEDICARE:   JESSICA NICOLE 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
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1720778160
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA NICOLE JONES
Provider Business Mailing Address
First Line : 1086 BROADWAY STE 7
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3376
Country : US
Telephone Number : 917-656-4017
Fax Number :
Provider Business Practice Location Address
First Line : 1086 BROADWAY STE 7
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3376
Country : US
Telephone Number : 917-656-4017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2023
Last Update Date : 05/09/2023

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Directions to “ JESSICA NICOLE JONES ” Practice Location

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