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NPI Code Detail

MEDICARE: JENNA L JONES

MEDICARE: JENNA L 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
1235Z00000XSpeech-Language PathologistLETTERAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710236419
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA L JONES
Provider Business Mailing Address
First Line : 610 W GRAND AVE
Second Line : SUITE A
City : HOT SPRINGS
State : AR
Zip : 71901-3922
Country : US
Telephone Number : 501-625-7800
Fax Number : 501-325-2727
Provider Business Practice Location Address
First Line : 610 W GRAND AVE
Second Line : SUITE A
City : HOT SPRINGS
State : AR
Zip : 71901-3922
Country : US
Telephone Number : 501-625-7800
Fax Number : 501-325-2727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2012
Last Update Date : 09/10/2012

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Directions to “ JENNA L JONES ” Practice Location

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