MEDICARE: HIJAH 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	343900000X	Non-emergency Medical Transport (VAN)	347C0000X	NC

General Provider Information

NPI Number	:	1821851379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIJAH JONES

Provider Business Mailing Address
First Line	:	7829 IVY HOLLOW DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-2436
Country	:	US
Telephone Number	:	704-449-0942
Fax Number	:

Provider Business Practice Location Address
First Line	:	7829 IVY HOLLOW DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-2436
Country	:	US
Telephone Number	:	704-449-0942
Fax Number	:

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

Provider Enumeration Date	:	02/06/2024
Last Update Date	:	02/06/2024

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Directions to “ HIJAH JONES ” Practice Location

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