Individual
NICOLE LEA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704285290
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704285290
MI
Other
Enumeration date
10/16/2015
Last updated
03/06/2023
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