Provider Demographics
NPI:1033882980
Name:JONES, REBECCA ANN (CNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 SUNSET CIR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-5171
Mailing Address - Country:US
Mailing Address - Phone:940-250-9080
Mailing Address - Fax:
Practice Address - Street 1:105 E HAGERMAN ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-5899
Practice Address - Country:US
Practice Address - Phone:575-244-9284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM64623363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily