MEDICARE: SHARON 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	251J00000X	Nursing Care Agency	PN 1289421	FL

General Provider Information

NPI Number	:	1598957961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON JONES

Provider Business Mailing Address
First Line	:	178 SPARROW DR APT A
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5022
Country	:	US
Telephone Number	:	561-753-9073
Fax Number	:

Provider Business Practice Location Address
First Line	:	178 SPARROW DR APT A
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5022
Country	:	US
Telephone Number	:	561-753-9073
Fax Number	:

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

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	08/09/2007

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Directions to “ SHARON JONES ” Practice Location

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