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NPI Code Detail

MEDICARE: MRS. SHELITA JONES MSN APRN FNP-C

MEDICARE: MRS. SHELITA JONES MSN APRN FNP-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
1207RH0003XHematology & Oncology Physician1072253TX
2363LF0000XFamily Nurse Practitioner214087LA
3363LF0000XFamily Nurse Practitioner1072253TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881211803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHELITA JONES MSN APRN FNP-C
Provider Business Mailing Address
First Line : 254 SH 360 APT 10203
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2993
Country : US
Telephone Number : 225-892-5434
Fax Number :
Provider Business Practice Location Address
First Line : 2400 AUGUSTA DR STE 369
Second Line :
City : HOUSTON
State : TX
Zip : 77057-4911
Country : US
Telephone Number : 888-880-3451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2020
Last Update Date : 03/19/2025

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