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NPI Code Detail

MEDICARE: SANDRA J JONES C.R.N.P.

MEDICARE: SANDRA J JONES C.R.N.P.
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
1363L00000XNurse PractitionerRN-187121OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003915141
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA J JONES C.R.N.P.
Provider Business Mailing Address
First Line : 945 BETHESDA DRIVE
Second Line : SUITE 200
City : ZANESVILLE
State : OH
Zip : 43701-1880
Country : US
Telephone Number : 740-454-4788
Fax Number : 740-450-6157
Provider Business Practice Location Address
First Line : 2800 MAPLE AVENUE
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-1716
Country : US
Telephone Number : 740-454-4788
Fax Number : 740-450-6157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 02/21/2014

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