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NPI Code Detail

MEDICARE: JIMMIE JONES

MEDICARE:   JIMMIE  JONES
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
1376K00000XNurse's AideMN

General Provider Information

NPI Number : 1053839951
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIMMIE JONES
Provider Business Mailing Address
First Line : 740 E 17TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-1601
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 740 E 17TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-1601
Country : US
Telephone Number : 321-400-7531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2017
Last Update Date : 08/31/2017

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Directions to “ JIMMIE JONES ” Practice Location

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