MEDICARE: DAMINICA RUFFIN-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	372600000X	Adult Companion		IN

General Provider Information

NPI Number	:	1992382774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMINICA RUFFIN-JONES

Provider Business Mailing Address
First Line	:	7712 SADDLEWOOD DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-3044
Country	:	US
Telephone Number	:	260-572-5095
Fax Number	:

Provider Business Practice Location Address
First Line	:	7712 SADDLEWOOD DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-3044
Country	:	US
Telephone Number	:	260-572-5095
Fax Number	:

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

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	03/26/2021

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Directions to “ DAMINICA RUFFIN-JONES ” Practice Location

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