Provider Demographics
NPI:1033657069
Name:JONES, SCHERRIE
Entity Type:Individual
Prefix:
First Name:SCHERRIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 CYPRESS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4452
Mailing Address - Country:US
Mailing Address - Phone:512-822-3348
Mailing Address - Fax:
Practice Address - Street 1:335 CYPRESS CREEK RD
Practice Address - Street 2:906
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4452
Practice Address - Country:US
Practice Address - Phone:512-822-3348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-10
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171WOOOOOX171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor