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NPI Code Detail

MEDICARE: MS. SHANITHIA JHONS

MEDICARE:  MS. SHANITHIA  JHONS
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1851113328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHANITHIA JHONS
Provider Business Mailing Address
First Line : 1595 E 13 MILE RD APT 201
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-5016
Country : US
Telephone Number : 313-523-0151
Fax Number :
Provider Business Practice Location Address
First Line : 1595 E 13 MILE RD APT 201
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-5016
Country : US
Telephone Number : 313-523-0151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 10/28/2024

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Directions to “ MS. SHANITHIA JHONS ” Practice Location

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