Individual
MICHELLE A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
(888) 803-6843
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
(888) 803-6843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003545A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000905702
ANTHEM
IN
05
—
201109030
—
IN
Enumeration date
10/25/2007
Last updated
02/22/2023
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