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NPI Code Detail

MEDICARE: JENNIFER JOANNE JONES

MEDICARE: JENNIFER JOANNE 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
1175T00000XPeer SpecialistSC

General Provider Information

NPI Number : 1790648848
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JOANNE JONES
Provider Business Mailing Address
First Line : 301 PRESTON ST
Second Line :
City : EASLEY
State : SC
Zip : 29640-3451
Country : US
Telephone Number : 864-878-6830
Fax Number :
Provider Business Practice Location Address
First Line : 337 W MAIN ST
Second Line :
City : EASLEY
State : SC
Zip : 29640-2927
Country : US
Telephone Number : 864-878-6830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ JENNIFER JOANNE JONES ” Practice Location

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