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NPI Code Detail

MEDICARE: ADRIAN BRYAN JONES CNP

MEDICARE: ADRIAN BRYAN JONES CNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerCP002437SD

General Provider Information

NPI Number : 1578296968
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN BRYAN JONES CNP
Provider Business Mailing Address
First Line : PO BOX 284
Second Line :
City : BALTIC
State : SD
Zip : 57003-0284
Country : US
Telephone Number : 505-215-8877
Fax Number :
Provider Business Practice Location Address
First Line : 4308 S ARWAY DR
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-3131
Country : US
Telephone Number : 605-573-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 07/05/2022

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