MEDICARE: JODIE JONES DNP-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	363LF0000X	Family Nurse Practitioner	SP016358	PA

General Provider Information

NPI Number	:	1891248829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODIE JONES DNP-FNP-C

Provider Business Mailing Address
First Line	:	802 MOFFATT RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-2746
Country	:	US
Telephone Number	:	724-944-2510
Fax Number	:

Provider Business Practice Location Address
First Line	:	3128 WILMINGTON RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1132
Country	:	US
Telephone Number	:	724-654-3006
Fax Number	:

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

Provider Enumeration Date	:	07/26/2016
Last Update Date	:	07/26/2016

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