Provider Demographics
NPI:1740805514
Name:JONES, ANNA NICOLE (MPH, RDN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:NICOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 FIELDCREST ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-6417
Mailing Address - Country:US
Mailing Address - Phone:815-505-9732
Mailing Address - Fax:
Practice Address - Street 1:223 FIELDCREST ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-6417
Practice Address - Country:US
Practice Address - Phone:815-505-9732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered