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NPI Code Detail

MEDICARE: MS. JESSICA MICHELLE-RAE JONES RN

MEDICARE: MS. JESSICA MICHELLE-RAE JONES RN
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
1163W00000XRegistered Nurse905151TX

General Provider Information

NPI Number : 1437096096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA MICHELLE-RAE JONES RN
Provider Business Mailing Address
First Line : 1225 CASTLEGAR LN
Second Line :
City : JUSTIN
State : TX
Zip : 76247-5780
Country : US
Telephone Number : 817-689-7946
Fax Number :
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 817-689-7946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2026
Last Update Date : 05/01/2026

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