MEDICARE: DR. JANINE CORBITT JONES M.D.

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	207Q00000X	Family Medicine Physician	21414	KY

General Provider Information

NPI Number	:	1447220231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANINE CORBITT JONES M.D.

Provider Business Mailing Address
First Line	:	110 CLUBHOUSE DR
Second Line	:
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-9138
Country	:	US
Telephone Number	:	859-223-8623
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY HEALTH SERVICE
Second Line	:	KENTUCKY CLINIC B-163
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0284
Country	:	US
Telephone Number	:	859-323-5823
Fax Number	:	859-323-1119

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/08/2007

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