Individual provider · Type 1 NPI

Reginald Ephram Jones

Clinic/Center · Detroit, MI

NPI number 1104709161 Active

Practice location

2109 Hubbard St
Detroit, MI 48209-3329

Fax (313) 519-4464

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1104709161

Reginald Ephram Jones's National Provider Identifier is 1104709161, issued on Jul 28, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 28, 2025.