MEDICARE: J AND J INCORPORATED

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	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1912598228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J AND J INCORPORATED

Provider Business Mailing Address
First Line	:	336 HASKEW LN
Second Line	:
City	:	CUMBERLAND GAP
State	:	TN
Zip	:	37724-4636
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	336 HASKEW LN
Second Line	:
City	:	CUMBERLAND GAP
State	:	TN
Zip	:	37724-4636
Country	:	US
Telephone Number	:	859-333-2205
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA ANN FRANCISCO
Credential	:	FNP-C
Telephone Number	:	859-333-2205

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	04/23/2021

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