MEDICARE: MRS. JANET NOVAS JONES FNP-C

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	363LF0000X	Family Nurse Practitioner	F0711421	NC
2	363L00000X	Nurse Practitioner	5005432	NC

General Provider Information

NPI Number	:	1487931903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANET NOVAS JONES FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 604050
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-4050
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 HIGHLAND OAKS DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-7154
Country	:	US
Telephone Number	:	336-646-7323
Fax Number	:

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

Provider Enumeration Date	:	11/11/2011
Last Update Date	:	04/19/2023

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