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NPI Code Detail

MEDICARE: JENNIFER JONES

MEDICARE: JENNIFER JONES
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
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1528644127
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JONES
Provider Business Mailing Address
First Line : 716 S CHASE ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 716 S CHASE ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6122
Country : US
Telephone Number : 360-395-2976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 03/23/2021

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Directions to “ JENNIFER JONES ” Practice Location

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