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NPI Code Detail

MEDICARE: TAMMIE SUE JONES NP

MEDICARE: TAMMIE SUE JONES NP
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
1363L00000XNurse Practitioner36715WV
2363LF0000XFamily Nurse Practitioner36715WV

General Provider Information

NPI Number : 1134159734
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMIE SUE JONES NP
Provider Business Mailing Address
First Line : PO BOX 390
Second Line :
City : HUNTINGTON
State : WV
Zip : 25708-0390
Country : US
Telephone Number : 304-429-1088
Fax Number : 304-429-3109
Provider Business Practice Location Address
First Line : 601 20TH ST
Second Line :
City : HUNTINGTON
State : WV
Zip : 25703-1512
Country : US
Telephone Number : 304-781-0076
Fax Number : 304-429-3109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2016

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Directions to “ TAMMIE SUE JONES NP” Practice Location

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