MEDICARE: TWANROBIN YACHICA 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	235Z00000X	Speech-Language Pathologist	7585	NC

General Provider Information

NPI Number	:	1982937983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TWANROBIN YACHICA JONES

Provider Business Mailing Address
First Line	:	6215 WILLOWBROOK LN
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-5354
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6215 WILLOWBROOK LN
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-5354
Country	:	US
Telephone Number	:	704-819-0336
Fax Number	:

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

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	04/10/2026

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