MEDICARE: KIMBERLY MERRITT 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	376K00000X	Nurse's Aide	137360	NC

General Provider Information

NPI Number	:	1790647188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY MERRITT JONES

Provider Business Mailing Address
First Line	:	614 COUNCIL LN
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-5367
Country	:	US
Telephone Number	:	919-610-9465
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 COUNCIL LN
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-5367
Country	:	US
Telephone Number	:	919-610-9465
Fax Number	:

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

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/25/2025

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Directions to “ KIMBERLY MERRITT JONES ” Practice Location

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