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NPI Code Detail

MEDICARE: MR. JASON TODD JONES NP

MEDICARE: MR. JASON TODD JONES NP
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 PractitionerAPRN-NP274707GA

General Provider Information

NPI Number : 1013643469
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON TODD JONES NP
Provider Business Mailing Address
First Line : 5176 WHEELER DR
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-5215
Country : US
Telephone Number : 940-465-0367
Fax Number :
Provider Business Practice Location Address
First Line : 1700 MEDICAL WAY
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-2195
Country : US
Telephone Number : 478-464-8134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2022
Last Update Date : 02/03/2026

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