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NPI Code Detail

MEDICARE: MELISSA ANN JONES RN

MEDICARE: MELISSA ANN JONES RN
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
1163WC0400XCase Management Registered Nurse4704285401MI

General Provider Information

NPI Number : 1720605272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN JONES RN
Provider Business Mailing Address
First Line : 213 E 1ST ST
Second Line :
City : OVID
State : MI
Zip : 48866-9743
Country : US
Telephone Number : 989-534-1703
Fax Number :
Provider Business Practice Location Address
First Line : 317 E GRAND RIVER RD
Second Line :
City : LAINGSBURG
State : MI
Zip : 48848-8742
Country : US
Telephone Number : 517-651-2801
Fax Number : 517-651-2310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 07/01/2020

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