Jones, Traci L
Jones, Traci L is an individual health care provider with primary practice located at 5000 Hakes Dr , Norton Shores MI 49441-5574. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jones, Traci L can be contacted via phone (231) 798-4445.Contact Information
Primary practice address
5000 Hakes Dr
Norton Shores MI 49441-5574
Phone: (231) 798-4445
Fax: (231) 798-4462
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704199363 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704199363 | Michigan |
Profile Details
NPI number | 1467493056 |
---|---|
LBN Legal business name | Jones, Traci L |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2006 |
Last updated | Mar 27th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467493056 | NPPES |
Michigan | MEDICAID | 4636659 |
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