MEDICARE: BRENDA J. JONES MSN, RN, APRN, BC

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	069887	MO
2	363LF0000X	Family Nurse Practitioner	45182	KS

General Provider Information

NPI Number	:	1366415333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA J. JONES MSN, RN, APRN, BC

Provider Business Mailing Address
First Line	:	1507 SW TWINCREEK PL
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-8893
Country	:	US
Telephone Number	:	816-299-8482
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 SW TWINCREEK PL
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-8893
Country	:	US
Telephone Number	:	816-299-8482
Fax Number	:

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	09/14/2010

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