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NPI Code Detail

MEDICARE: MRS. BRENDA GARDNER JONES RN

MEDICARE:  MRS. BRENDA GARDNER 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
1163WS0200XSchool Registered NurseRN116581AZ

General Provider Information

NPI Number : 1528252608
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA GARDNER JONES RN
Provider Business Mailing Address
First Line : 25475 N STETSON HILLS LOOP
Second Line :
City : PHOENIX
State : AZ
Zip : 85083-1699
Country : US
Telephone Number : 623-445-5310
Fax Number :
Provider Business Practice Location Address
First Line : 25475 N STETSON HILLS LOOP
Second Line :
City : PHOENIX
State : AZ
Zip : 85083-1699
Country : US
Telephone Number : 623-445-5310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2007
Last Update Date : 08/31/2007

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Directions to “ MRS. BRENDA GARDNER JONES RN” Practice Location

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