Provider Demographics
NPI:1164176160
Name:JONES, NATHANIEL III (NP)
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:
Last Name:JONES
Suffix:III
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 HONEYVINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-4170
Mailing Address - Country:US
Mailing Address - Phone:832-689-9086
Mailing Address - Fax:
Practice Address - Street 1:500 HILBIG RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1454
Practice Address - Country:US
Practice Address - Phone:936-521-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1028841363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner