MEDICARE: HANNAH CHRISTINE JONAS TONEY

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	363A00000X	Physician Assistant	001013660	NC
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1922783976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH CHRISTINE JONAS TONEY

Provider Business Mailing Address
First Line	:	1801 GLENDALE DR SW
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-4401
Country	:	US
Telephone Number	:	252-237-3141
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 GLENDALE DR SW
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-4499
Country	:	US
Telephone Number	:	252-237-3141
Fax Number	:

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

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	11/03/2025

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