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NPI Code Detail

MEDICARE: MS. JULIE M JONES D.O.

MEDICARE: MS. JULIE M JONES D.O.
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
1207R00000XInternal Medicine Physician02004652AIN
2207RR0500XRheumatology Physician63598MN

General Provider Information

NPI Number : 1306833454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE M JONES D.O.
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-1166
Fax Number :
Provider Business Practice Location Address
First Line : 9055 SPRINGBROOK DR NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55433-5841
Country : US
Telephone Number : 763-780-9155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 12/21/2022

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