MEDICARE: MS. LATOYA 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	172V00000X	Community Health Worker

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	:	1942527189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LATOYA JONES

Provider Business Mailing Address
First Line	:	P.O BOX 7146
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33673
Country	:	US
Telephone Number	:	813-447-7795
Fax Number	:

Provider Business Practice Location Address
First Line	:	3421 TEMPLE ST APT B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-2304
Country	:	US
Telephone Number	:	813-447-7795
Fax Number	:

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

Provider Enumeration Date	:	04/28/2010
Last Update Date	:	04/28/2010

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