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NPI Code Detail

MEDICARE: HEATHER MICHELE JONES FNP-C

MEDICARE: HEATHER MICHELE JONES FNP-C
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
1363LF0000XFamily Nurse PractitionerRN184275GA

General Provider Information

NPI Number : 1053954768
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MICHELE JONES FNP-C
Provider Business Mailing Address
First Line : PO BOX 459
Second Line :
City : COLBERT
State : GA
Zip : 30628-0459
Country : US
Telephone Number : 706-788-3234
Fax Number :
Provider Business Practice Location Address
First Line : 17 WHITE ST
Second Line :
City : CLEVELAND
State : GA
Zip : 30528-1140
Country : US
Telephone Number : 706-969-7510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2019
Last Update Date : 05/27/2022

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