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NPI Code Detail

MEDICARE: DESTINI RENEE JONES

MEDICARE: DESTINI RENEE 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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1609696137
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINI RENEE JONES
Provider Business Mailing Address
First Line : 5129 RIVERCREST LN
Second Line :
City : BARTLETT
State : TN
Zip : 38135-1339
Country : US
Telephone Number : 901-801-8532
Fax Number :
Provider Business Practice Location Address
First Line : 24 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1929
Country : US
Telephone Number : 866-226-8576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 10/10/2024

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Directions to “ DESTINI RENEE JONES ” Practice Location

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