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NPI Code Detail

MEDICARE: JENNIFER H JONES

MEDICARE: JENNIFER H 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
11041C0700XClinical Social Worker00788GA

General Provider Information

NPI Number : 1891849840
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENNIFER H JONES
Provider Business Mailing Address
First Line : 1788 CENTURY BLVD NE STE B
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3321
Country : US
Telephone Number : 404-315-9987
Fax Number :
Provider Business Practice Location Address
First Line : 1788 CENTURY BLVD NE STE B
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3321
Country : US
Telephone Number : 404-315-9987
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JENNIFER H JONES
Credential : LCSW
Telephone Number : 404-315-9987
Provider Enumeration Date : 01/23/2007
Last Update Date : 08/22/2020

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