MEDICARE: ERIKA 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704362312	MI

General Provider Information

NPI Number	:	1932961281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA JONES

Provider Business Mailing Address
First Line	:	41 CROSSROADS LN APT 1309
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-3011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 CROSSROADS LN APT 1309
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-3011
Country	:	US
Telephone Number	:	313-703-5257
Fax Number	:

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

Provider Enumeration Date	:	01/23/2024
Last Update Date	:	01/23/2024

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