Provider Demographics
NPI:1033470950
Name:WILLIAMS-JONES, KAREN R (LVN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:R
Last Name:WILLIAMS-JONES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S VICTORIA AVE # 4615
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93009-0003
Mailing Address - Country:US
Mailing Address - Phone:820-732-8574
Mailing Address - Fax:
Practice Address - Street 1:800 S VICTORIA AVE # 4615
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93009-0003
Practice Address - Country:US
Practice Address - Phone:820-732-8574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 263012164X00000X
251X00000X, 332U00000X, 385H00000X
CAVN263012171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
No251X00000XAgenciesSupports Brokerage
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care