Provider Demographics
NPI:1306844998
Name:JONES, BELVERLY J (FNP)
Entity Type:Individual
Prefix:MS
First Name:BELVERLY
Middle Name:J
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:BELVERLY
Other - Middle Name:J
Other - Last Name:SPEARS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP, DNP
Mailing Address - Street 1:1560 E MAPLE RD
Mailing Address - Street 2:SUITE 400 - CREDENTIALING DEPT
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1138
Mailing Address - Country:US
Mailing Address - Phone:313-745-4525
Mailing Address - Fax:313-577-3223
Practice Address - Street 1:3901 CHRYSLER DR
Practice Address - Street 2:STE 4A
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2167
Practice Address - Country:US
Practice Address - Phone:313-745-4525
Practice Address - Fax:313-577-3223
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704128055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily