MEDICARE: DAPHNE LYNN JONES MD

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	207V00000X	Obstetrics & Gynecology Physician	9900075	NC

General Provider Information

NPI Number	:	1881675965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAPHNE LYNN JONES MD

Provider Business Mailing Address
First Line	:	523 GANDY ST NE STE F
Second Line	:
City	:	RUSSELLVILLE
State	:	AL
Zip	:	35653-1961
Country	:	US
Telephone Number	:	256-331-3988
Fax Number	:	256-331-3987

Provider Business Practice Location Address
First Line	:	523 GANDY ST NE STE F
Second Line	:
City	:	RUSSELLVILLE
State	:	AL
Zip	:	35653-1961
Country	:	US
Telephone Number	:	256-331-3988
Fax Number	:	256-331-3987

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	05/07/2024

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