MEDICARE: MECCA MONIQUE 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	247200000X	Other Technician

General Provider Information

NPI Number	:	1336022698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MECCA MONIQUE JONES

Provider Business Mailing Address
First Line	:	1917 S TAYLOR RD # 1097
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2103
Country	:	US
Telephone Number	:	216-450-0712
Fax Number	:	216-450-0712

Provider Business Practice Location Address
First Line	:	1917 S TAYLOR RD # 1097
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2103
Country	:	US
Telephone Number	:	216-450-0712
Fax Number	:	216-450-0712

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

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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Directions to “ MECCA MONIQUE JONES ” Practice Location

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