Doctor Name: | SANDRA JEAN JONES |
NPI Number: | 1043203581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 603779 |
Business Practice Address: | 2701 Us Highway 271 N Pittsburg, TX - 756864289 |
Business Phone Number: | 9039465442 |
Business Fax Number: | 9039465273 |
Mailing Address: | 1280 County Road 3303, OMAHA |
State: | TX |
Postal Code: | 755715801 |
Phone Number: | 9038842495 |
Fax Number: | 9039465273 |
NPI Enumeration Date: | 08/30/2005 |
NPI Last Update Date: | 12/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 603779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |