Provider Demographics
NPI:1326431453
Name:JONES, REBECCA TROTMAN (NP-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:TROTMAN
Last Name:JONES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 W BARBEE CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7713
Mailing Address - Country:US
Mailing Address - Phone:252-430-4628
Mailing Address - Fax:
Practice Address - Street 1:7024 BURNETT WOMACK
Practice Address - Street 2:CB #7155
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-445-2684
Practice Address - Fax:919-966-4251
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007525363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology