MEDICARE: DEBORAH JONES N.N.P.

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	363LN0000X	Neonatal Nurse Practitioner	16343	CA
2	363L00000X	Nurse Practitioner	16343	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538184171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH JONES N.N.P.

Provider Business Mailing Address
First Line	:	PO BOX 80007
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93912-0007
Country	:	US
Telephone Number	:	831-755-4111
Fax Number	:	831-755-4087

Provider Business Practice Location Address
First Line	:	1441 CONSTITUTION BLVD
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93906-3100
Country	:	US
Telephone Number	:	831-755-4111
Fax Number	:	831-755-4087

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	01/09/2020

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