MEDICARE: MR. DAVID MICHAEL 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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1356291637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID MICHAEL JONES

Provider Business Mailing Address
First Line	:	2482 STONEWELL TRL
Second Line	:
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-4204
Country	:	US
Telephone Number	:	859-801-0134
Fax Number	:

Provider Business Practice Location Address
First Line	:	2482 STONEWELL TRL
Second Line	:
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-4204
Country	:	US
Telephone Number	:	859-801-0134
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ MR. DAVID MICHAEL JONES ” Practice Location

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