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NPI Code Detail

MEDICARE: SHONDA JONES R.N

MEDICARE: SHONDA JONES R.N
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
1163WH0200XHome Health Registered Nurse369549OH
2163W00000XRegistered NurseRN369549OH

General Provider Information

NPI Number : 1770870008
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHONDA JONES R.N
Provider Business Mailing Address
First Line : 189 E WATER ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-2538
Country : US
Telephone Number : 937-509-5200
Fax Number :
Provider Business Practice Location Address
First Line : 4977 NORTHCUTT PL
Second Line :
City : DAYTON
State : OH
Zip : 45414-3839
Country : US
Telephone Number : 937-387-6395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2011
Last Update Date : 04/04/2023

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