Healthcare Provider Details

I. General information

NPI: 1649182585
Provider Name (Legal Business Name): REBECCA R JONES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11531 SUNDERLAND RD
MARION IL
62959-8274
US

IV. Provider business mailing address

201 W FORD ST APT 10B
ENERGY IL
62933-3588
US

V. Phone/Fax

Practice location:
  • Phone: 618-964-5139
  • Fax:
Mailing address:
  • Phone: 618-694-5311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041528346
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: