Provider Demographics
NPI:1083180970
Name:JONES, JESSICA ANN (LVN)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ANN
Last Name: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:PO BOX 705
Mailing Address - Street 2:
Mailing Address - City:SUTHERLAND SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78161-0705
Mailing Address - Country:US
Mailing Address - Phone:210-286-6901
Mailing Address - Fax:
Practice Address - Street 1:757 C RD
Practice Address - Street 2:
Practice Address - City:SUTHERLAND SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78161-4711
Practice Address - Country:US
Practice Address - Phone:210-286-6901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX337413164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse