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NPI Code Detail

MEDICARE: DESTINY JONES

MEDICARE:   DESTINY  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
1376J00000XHomemakerOH

General Provider Information

NPI Number : 1093673600
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY JONES
Provider Business Mailing Address
First Line : 1326 E 65TH ST # UP
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-2542
Country : US
Telephone Number : 216-632-7298
Fax Number :
Provider Business Practice Location Address
First Line : 1326 E 65TH ST # UP
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-2542
Country : US
Telephone Number : 216-632-7298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ DESTINY JONES ” Practice Location

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