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NPI Code Detail

MEDICARE: TRACI L JONES NP

MEDICARE: TRACI L JONES NP
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 Practitioner4704199363MI
2363L00000XNurse Practitioner4704199363MI

General Provider Information

NPI Number : 1467493056
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI L JONES NP
Provider Business Mailing Address
First Line : 2734 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4413
Country : US
Telephone Number : 231-798-4445
Fax Number : 231-798-4462
Provider Business Practice Location Address
First Line : 2734 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4413
Country : US
Telephone Number : 231-798-4445
Fax Number : 231-798-4462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 03/07/2025

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