MEDICARE: LAUREN MILLER JONES MSN, FNP-C

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	363L00000X	Nurse Practitioner	5015057	NC

General Provider Information

NPI Number	:	1801566021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MILLER JONES MSN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 OAK RIDGE RD STE BB
Second Line	:
City	:	OAK RIDGE
State	:	NC
Zip	:	27310-8645
Country	:	US
Telephone Number	:	336-644-0994
Fax Number	:

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

Provider Enumeration Date	:	09/18/2021
Last Update Date	:	12/23/2021

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