MEDICARE: CHRISTINE BIANCA 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
1	163WM0705X	Medical-Surgical Registered Nurse	RN298290	GA
2	163WG0000X	General Practice Registered Nurse	RN298290	GA
3	163WC0200X	Critical Care Medicine Registered Nurse	RN298290	GA
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN-NP298290	GA

General Provider Information

NPI Number	:	1578238622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE BIANCA JONES RN

Provider Business Mailing Address
First Line	:	3961 FLOYD RD STE 300254
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30106-8536
Country	:	US
Telephone Number	:	931-436-1232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1292 MOUNT PISGAH DOWNS
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30168-5200
Country	:	US
Telephone Number	:	931-436-1232
Fax Number	:

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

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	06/16/2026

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