Healthcare Provider Details

I. General information

NPI: 1144510777
Provider Name (Legal Business Name): REBECCA ALLEN JONES ADULT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2011
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S HEALTH PKWY
THREE RIVERS MI
49093-8352
US

IV. Provider business mailing address

3245 HEALTH DR
GRANGER IN
46530-1380
US

V. Phone/Fax

Practice location:
  • Phone: 269-278-1145
  • Fax: 269-273-9611
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number4704294147
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704294147
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: