MEDICARE: YUVONDA 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
1	235Z00000X	Speech-Language Pathologist	SLP005270	GA

General Provider Information

NPI Number	:	1194862607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUVONDA JONES

Provider Business Mailing Address
First Line	:	4068 EMERALD LAKE DR
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30035-2735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4068 EMERALD LAKE DR
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30035-2735
Country	:	US
Telephone Number	:	404-310-1072
Fax Number	:

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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Directions to “ YUVONDA JONES ” Practice Location

Language	Start Address	Practice Location

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