MEDICARE: MATTHEW 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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0038795	OH

General Provider Information

NPI Number	:	1598563603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW JONES

Provider Business Mailing Address
First Line	:	17326 INVERMERE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-1656
Country	:	US
Telephone Number	:	216-297-5480
Fax Number	:

Provider Business Practice Location Address
First Line	:	1956 E 79TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-4270
Country	:	US
Telephone Number	:	216-431-3733
Fax Number	:

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

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	03/11/2025

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Directions to “ MATTHEW JONES ” Practice Location

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