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NPI Code Detail

MEDICARE: MELINDA D JONES NP

MEDICARE: MELINDA D 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 Practitioner205058MA

General Provider Information

NPI Number : 1033111711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA D JONES NP
Provider Business Mailing Address
First Line : 418 SUMNER ST
Second Line :
City : EAST BOSTON
State : MA
Zip : 02128-2220
Country : US
Telephone Number : 781-953-1474
Fax Number :
Provider Business Practice Location Address
First Line : 269 UNION ST
Second Line :
City : LYNN
State : MA
Zip : 01901-1314
Country : US
Telephone Number : 781-581-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/08/2007

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