MEDICARE: TONIECE NICOLE 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	376K00000X	Nurse's Aide	400939060709	OH

General Provider Information

NPI Number	:	1003163718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONIECE NICOLE JONES

Provider Business Mailing Address
First Line	:	6401 WOODLAND AVE APT H
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-1830
Country	:	US
Telephone Number	:	216-203-8973
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 WOODLAND AVE APT H
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-1830
Country	:	US
Telephone Number	:	216-203-8973
Fax Number	:

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

Provider Enumeration Date	:	08/13/2012
Last Update Date	:	08/13/2012

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Directions to “ TONIECE NICOLE JONES ” Practice Location

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