MEDICARE: RASHAN JAMMEELAH JONES PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11004567	FL
2	2084P0800X	Psychiatry Physician	APRN11004567	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821631045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHAN JAMMEELAH JONES PMHNP

Provider Business Mailing Address
First Line	:	66 W FLAGLER ST STE 900
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-1807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5991 CHESTER AVE STE 106
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-2265
Country	:	US
Telephone Number	:	855-928-5011
Fax Number	:

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

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	11/05/2024

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