MEDICARE: JODIE A STONE PA-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	363A00000X	Physician Assistant	C0001822	MD

General Provider Information

NPI Number	:	1972789519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODIE A STONE PA-C

Provider Business Mailing Address
First Line	:	PO BOX 26135
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-2012
Country	:	US
Telephone Number	:	301-588-7888
Fax Number	:	301-587-5002

Provider Business Practice Location Address
First Line	:	7811 MONTROSE RD STE 220
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3353
Country	:	US
Telephone Number	:	301-588-7888
Fax Number	:	301-587-5002

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

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	07/27/2021

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Directions to “ JODIE A STONE PA-C” Practice Location

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