MEDICARE: MARCIE JONES CCMA

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
1	246RP1900X	Phlebotomy Technician	E5N4W4P5	OH

General Provider Information

NPI Number	:	1134874308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIE JONES CCMA

Provider Business Mailing Address
First Line	:	2131 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-1837
Country	:	US
Telephone Number	:	513-806-9367
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-1837
Country	:	US
Telephone Number	:	513-806-9367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2022
Last Update Date	:	02/16/2022

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Directions to “ MARCIE JONES CCMA” Practice Location

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