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NPI Code Detail

MEDICARE: GLORIA JONES

MEDICARE: GLORIA 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
1164W00000XLicensed Practical Nurse346855NY

General Provider Information

NPI Number : 1306693189
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA JONES
Provider Business Mailing Address
First Line : 577 NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1149 MYRTLE AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-6007
Country : US
Telephone Number : 718-574-1801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2024
Last Update Date : 05/01/2024

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Directions to “ GLORIA JONES ” Practice Location

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