MEDICARE: MRS. JENNIFER L JONES R.N.

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	163WL0100X	Lactation Consultant (Registered Nurse)	1370592	FL

General Provider Information

NPI Number	:	1033285747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER L JONES R.N.

Provider Business Mailing Address
First Line	:	190 CONGRESS PARK DRIVE
Second Line	:	SUITE 180
City	:	BOCA RATON
State	:	FL
Zip	:	33486
Country	:	US
Telephone Number	:	561-338-3322
Fax Number	:	561-274-4211

Provider Business Practice Location Address
First Line	:	190 CONGRESS PARK DR
Second Line	:	SUITE 180
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4706
Country	:	US
Telephone Number	:	561-338-3322
Fax Number	:	561-274-4211

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

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	07/08/2007

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