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NPI Code Detail

MEDICARE: DONNA JONES PNP

MEDICARE: DONNA JONES PNP
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
1163W00000XRegistered Nurse352798NY
2363LP0200XPediatric Nurse PractitionerF381091NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100026903101OTHERNYUNIVERA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3050317000095OTHERNYFIDELIS
4000560903001OTHERNYBC/BS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
69590212OTHERNYIHA

General Provider Information

NPI Number : 1619050051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA JONES PNP
Provider Business Mailing Address
First Line : 22 ORGAN CRES
Second Line :
City : BUFFALO
State : NY
Zip : 14224-1616
Country : US
Telephone Number : 716-861-5422
Fax Number : 716-675-9775
Provider Business Practice Location Address
First Line : 22 ORGAN CRES
Second Line :
City : BUFFALO
State : NY
Zip : 14224-1616
Country : US
Telephone Number : 716-861-5422
Fax Number : 716-675-9775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2006
Last Update Date : 07/19/2022

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