MEDICARE: JENNY JONES CRNP, NP-C

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	363LF0000X	Family Nurse Practitioner	1102	HI
2	363LF0000X	Family Nurse Practitioner	R163844	MD

General Provider Information

NPI Number	:	1811947039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY JONES CRNP, NP-C

Provider Business Mailing Address
First Line	:	1600 CRAIN HWY S STE 503
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-6443
Country	:	US
Telephone Number	:	443-354-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 CRAIN HWY S STE 503
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-6443
Country	:	US
Telephone Number	:	443-354-1200
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	04/13/2026

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