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NPI Code Detail

MEDICARE: JENNIFER JONES WELLS FNP

MEDICARE: JENNIFER JONES WELLS FNP
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
1363LF0000XFamily Nurse Practitioner5004548NC

General Provider Information

NPI Number : 1376870998
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JONES WELLS FNP
Provider Business Mailing Address
First Line : PO BOX 7200
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-0200
Country : US
Telephone Number : 252-937-0200
Fax Number : 252-451-0056
Provider Business Practice Location Address
First Line : 102 S EASTPOINTE AVE
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1849
Country : US
Telephone Number : 252-459-4012
Fax Number : 252-937-3101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2009
Last Update Date : 10/26/2023

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