MEDICARE: MS. RUTH ARNETTA JONES LPN

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	0002064087	VA

General Provider Information

NPI Number	:	1336470988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RUTH ARNETTA JONES LPN

Provider Business Mailing Address
First Line	:	7515 CHAMBERLAYNE AVE.
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23227
Country	:	US
Telephone Number	:	804-399-0515
Fax Number	:	804-525-5941

Provider Business Practice Location Address
First Line	:	7515 CHAMBERLAYNE AVE.
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23227
Country	:	US
Telephone Number	:	804-399-0515
Fax Number	:	804-525-5941

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

Provider Enumeration Date	:	01/21/2010
Last Update Date	:	01/21/2010

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