Healthcare Provider Details

I. General information

NPI: 1699152843
Provider Name (Legal Business Name): ANNA C JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA ARNOLD MD

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WEST AVE S
LA CROSSE WI
54601-4783
US

IV. Provider business mailing address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

V. Phone/Fax

Practice location:
  • Phone: 608-785-0940
  • Fax: 505-272-4156
Mailing address:
  • Phone: 608-785-0940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD2020-0051
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number72876
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number22334
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number72876
License Number StateMN
# 5
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number81175
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: