MEDICARE: RACHEL GRACE JONES CRNP

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	163W00000X	Registered Nurse	RN9352408	FL
2	163W00000X	Registered Nurse	663583	NY
3	163W00000X	Registered Nurse	201041626RN	OR
4	163W00000X	Registered Nurse	RN73237	HI
5	163W00000X	Registered Nurse	RN148824	AZ
6	163W00000X	Registered Nurse	RN1026736	DC
7	163W00000X	Registered Nurse	852018	CA
8	363LF0000X	Family Nurse Practitioner	NP1026736	DC
9	363LF0000X	Family Nurse Practitioner	0024183895	VA
10	363LF0000X	Family Nurse Practitioner	AC004422	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F12210052	OTHER		AANP

General Provider Information

NPI Number	:	1164825980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL GRACE JONES CRNP

Provider Business Mailing Address
First Line	:	4701 SANGAMORE RD STE S207
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20816-2529
Country	:	US
Telephone Number	:	202-684-7167
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 SANGAMORE RD STE S207
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20816-2529
Country	:	US
Telephone Number	:	202-684-7167
Fax Number	:

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

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	08/22/2024

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