MEDICARE: STEPHANIE LUPITA 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1235936220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LUPITA JONES

Provider Business Mailing Address
First Line	:	1728 S 14TH ST APT 3
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68502-2315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1728 S 14TH ST APT 3
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68502-2315
Country	:	US
Telephone Number	:	218-849-0379
Fax Number	:

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

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	02/26/2025

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Directions to “ STEPHANIE LUPITA JONES ” Practice Location

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