Doctor Name: | MS. DIANA L. JONES |
NPI Number: | 1457371304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 679787 |
Business Practice Address: | 6407 Southwest Blvd Benbrook, TX - 761322777 |
Business Phone Number: | 8177319198 |
Business Fax Number: | 8177319199 |
Mailing Address: | 5766 Fall Creek Dr, HALTOM CITY |
State: | TX |
Postal Code: | 761372673 |
Phone Number: | 8172337546 |
Fax Number: | 8177319199 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 679787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |