MEDICARE: MS. SUSAN SYLVIA 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	363LF0000X	Family Nurse Practitioner	AP30001959	WA

General Provider Information

NPI Number	:	1881613248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN SYLVIA JONES ARNP

Provider Business Mailing Address
First Line	:	1206 E VICTOR ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1634
Country	:	US
Telephone Number	:	360-756-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 HIGH ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5946
Country	:	US
Telephone Number	:	360-650-3400
Fax Number	:

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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