Healthcare Provider Details

I. General information

NPI: 1386130037
Provider Name (Legal Business Name): ALISHA M JONES CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6855 SPRING VALLEY DR
HOLLAND OH
43528-8039
US

IV. Provider business mailing address

6855 SPRING VALLEY DR STE 125
HOLLAND OH
43528-9374
US

V. Phone/Fax

Practice location:
  • Phone: 419-389-0492
  • Fax:
Mailing address:
  • Phone: 419-389-0492
  • Fax: 419-407-3515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4704261457
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: