MEDICARE: PATRICIA JONES NP

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	363L00000X	Nurse Practitioner	330781	NY

General Provider Information

NPI Number	:	1336266766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA JONES NP

Provider Business Mailing Address
First Line	:	321 GENESEE ST
Second Line	:	ATTN: PRACTICE MANAGEMENT
City	:	ONEIDA
State	:	NY
Zip	:	13421-2611
Country	:	US
Telephone Number	:	315-361-2913
Fax Number	:	315-361-2914

Provider Business Practice Location Address
First Line	:	221 BROAD ST STE 202
Second Line	:
City	:	ONEIDA
State	:	NY
Zip	:	13421-2178
Country	:	US
Telephone Number	:	315-363-5297
Fax Number	:	315-363-2829

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/11/2017

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