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NPI Code Detail

MEDICARE: MR. DONALD FREDRICK JONES RN, FNP

MEDICARE: MR. DONALD FREDRICK JONES RN, FNP
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 PractitionerRN 231583CA

General Provider Information

NPI Number : 1083670327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD FREDRICK JONES RN, FNP
Provider Business Mailing Address
First Line : 3425 OAKCREEK DR
Second Line :
City : ROCKLIN
State : CA
Zip : 95677-1924
Country : US
Telephone Number : 916-624-4227
Fax Number :
Provider Business Practice Location Address
First Line : 6000 J ST
Second Line : STUDENT HEALTH CENTER
City : SACRAMENTO
State : CA
Zip : 95819-2605
Country : US
Telephone Number : 916-278-6461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 07/08/2007

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