Provider Demographics
NPI:1104718436
Name:JONES, MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:HUTCHINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3440 ROMRELL AVE
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83401-7001
Mailing Address - Country:US
Mailing Address - Phone:928-301-8563
Mailing Address - Fax:
Practice Address - Street 1:3767 PROFESSIONAL WAY
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-7315
Practice Address - Country:US
Practice Address - Phone:208-907-4682
Practice Address - Fax:208-785-9883
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID8971861363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner