MEDICARE: JAMIE JONES RN,MSN,FNP-C

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	363LF0000X	Family Nurse Practitioner	5007215	NC

General Provider Information

NPI Number	:	1174926612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE JONES RN,MSN,FNP-C

Provider Business Mailing Address
First Line	:	1002 E 4TH AVE
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1642
Country	:	US
Telephone Number	:	910-843-3311
Fax Number	:	910-843-2586

Provider Business Practice Location Address
First Line	:	1002 E 4TH AVE
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1642
Country	:	US
Telephone Number	:	910-843-3311
Fax Number	:	910-843-2586

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

Provider Enumeration Date	:	09/29/2014
Last Update Date	:	01/13/2026

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