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NPI Code Detail

MEDICARE: JORDAN JANELLE-YVONNE JONES

MEDICARE:   JORDAN JANELLE-YVONNE 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
1225C00000XRehabilitation Counselor
2225CX0006XOrientation and Mobility Training Rehabilitation Counselor
3261QR0400XRehabilitation Clinic/Center
4103TE1100XExercise & Sports Psychologist
51744R1103XResearch Study Abstracter/Coder
6224Y00000XClinical Exercise Physiologist
7225400000XRehabilitation Practitioner
8261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
9261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
10276400000XSubstance Use Disorder Rehabilitation Hospital Unit
11251B00000XCase Management Agency

General Provider Information

NPI Number : 1972098366
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN JANELLE-YVONNE JONES
Provider Business Mailing Address
First Line : 1451 LINN LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-1703
Country : US
Telephone Number : 702-901-9709
Fax Number :
Provider Business Practice Location Address
First Line : 4794 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119
Country : US
Telephone Number : 702-751-4801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2018
Last Update Date : 06/28/2018

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Directions to “ JORDAN JANELLE-YVONNE JONES ” Practice Location

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