Healthcare Provider Details

I. General information

NPI: 1811579204
Provider Name (Legal Business Name): JANNET JONES DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2021
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 W EISENHOWER CIR STE E
ANN ARBOR MI
48103-5868
US

IV. Provider business mailing address

184 CRESTFIELD AVE
TROY MI
48085-4725
US

V. Phone/Fax

Practice location:
  • Phone: 734-562-0774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: