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NPI Code Detail

MEDICARE: SHANDRA JONES

MEDICARE: SHANDRA 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1386585933
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANDRA JONES
Provider Business Mailing Address
First Line : 140 EDGEWOOD CIR
Second Line :
City : DURANT
State : OK
Zip : 74701-7044
Country : US
Telephone Number : 580-740-5977
Fax Number :
Provider Business Practice Location Address
First Line : 1111 W 17TH ST
Second Line :
City : TULSA
State : OK
Zip : 74107-1886
Country : US
Telephone Number : 580-740-5977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ SHANDRA JONES ” Practice Location

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