MEDICARE: ANGELA N 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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1932846128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA N JONES

Provider Business Mailing Address
First Line	:	3966 FREEDOM RIDGE CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1533
Country	:	US
Telephone Number	:	614-989-5153
Fax Number	:

Provider Business Practice Location Address
First Line	:	3966 FREEDOM RIDGE CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1533
Country	:	US
Telephone Number	:	614-989-5153
Fax Number	:

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

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	05/18/2022

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Directions to “ ANGELA N JONES ” Practice Location

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