Healthcare Provider Details

I. General information

NPI: 1740102557
Provider Name (Legal Business Name): LITTIECE R JONES
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45014 TRAILS CT
CANTON MI
48187-1756
US

IV. Provider business mailing address

45014 TRAILS CT
CANTON MI
48187-1756
US

V. Phone/Fax

Practice location:
  • Phone: 734-707-7606
  • Fax:
Mailing address:
  • Phone: 734-707-7606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: