MEDICARE: DR. TAYLOR NICOLE JONES PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	39449	TN

General Provider Information

NPI Number	:	1285232116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAYLOR NICOLE JONES PHARMD

Provider Business Mailing Address
First Line	:	4900 PORT ROYAL RD
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2804
Country	:	US
Telephone Number	:	931-560-2142
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 PORT ROYAL RD
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2804
Country	:	US
Telephone Number	:	931-560-2142
Fax Number	:

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

Provider Enumeration Date	:	10/13/2020
Last Update Date	:	10/13/2020

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