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NPI Code Detail

MEDICARE: TRACEY JONES M.D.

MEDICARE:   TRACEY  JONES  M.D.
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
12084P0800XPsychiatry Physician35.143395OH
22084P0800XPsychiatry Physician69272CT
32084P0800XPsychiatry PhysicianD0092987MD
42084P0800XPsychiatry Physician313604NY
52084P0800XPsychiatry Physician25MA11201400NJ
62084P0800XPsychiatry PhysicianC1-0024447DE
72084P0800XPsychiatry PhysicianMD064120LPA

General Provider Information

NPI Number : 1043361355
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACEY JONES M.D.
Provider Business Mailing Address
First Line : 1511 CARPENTER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-2110
Country : US
Telephone Number : 215-923-2690
Fax Number : 215-923-8940
Provider Business Practice Location Address
First Line : 1511 CARPENTER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-2110
Country : US
Telephone Number : 215-923-2690
Fax Number : 215-923-8940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 03/05/2025

Similar Medicare Providers

1376768127 — TRACEY JONES, M.D., P.C.
Practice Location Address:
1511 CARPENTER ST
PHILADELPHIA, PA
19146-2110
Practice Phone: 215-923-2690
Practice Fax: 215-923-8940
1932404837 — MS. VALERIE DANIEL LMSW
Practice Location Address:
1511 CARPENTER ST
PHILADELPHIA, PA
19146-2110
Practice Phone: 267-679-8198
Practice Fax:
1841597093 — MRS. ANNETTE HARRIS MURRAY MSW,LSW
Practice Location Address:
1511 CARPENTER ST
PHILADELPHIA, PA
19146-2110
Practice Phone: 215-923-2690
Practice Fax:
1720204597 — DR. ZAKARY THOMAS LEBLANC D.C.
Practice Location Address:
5952 GERMANTOWN AVE
PHILADELPHIA, PA
19144-2110
Practice Phone: 267-331-8207
Practice Fax: 267-331-8217
1275769960 — ALINA SHEYNFELD
Practice Location Address:
2110 CONWELL AVE
PHILADELPHIA, PA
19115-2310
Practice Phone: 267-255-1994
Practice Fax:
1679866750 — MARYJO HOME CARE, LLC
Practice Location Address:
5010 COTTAGE ST
PHILADELPHIA, PA
19124-2110
Practice Phone: 215-667-1288
Practice Fax:

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