MEDICARE: MR. ROBERT CHARLES JONES III APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.021899	OH
2	363LF0000X	Family Nurse Practitioner	APRN78703-NP-C	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356856108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT CHARLES JONES III APRN, FNP-C

Provider Business Mailing Address
First Line	:	800 WHEELING AVE
Second Line	:
City	:	GLEN DALE
State	:	WV
Zip	:	26038-1697
Country	:	US
Telephone Number	:	304-845-3211
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 EOFF ST
Second Line	:
City	:	BENWOOD
State	:	WV
Zip	:	26031-1007
Country	:	US
Telephone Number	:	304-221-3014
Fax Number	:	304-221-3015

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

Provider Enumeration Date	:	12/01/2017
Last Update Date	:	06/27/2025

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