MEDICARE: RACHAEL JONES ARNP

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	163W00000X	Registered Nurse	9283756	FL
2	363LF0000X	Family Nurse Practitioner	ARNP9283756	FL

General Provider Information

NPI Number	:	1821418864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL JONES ARNP

Provider Business Mailing Address
First Line	:	2115 PIMLICO ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-8312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8956 TURKEY LAKE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7327
Country	:	US
Telephone Number	:	407-248-2440
Fax Number	:

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

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	10/05/2016

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