Provider Demographics
NPI:1235847351
Name:JONES, VERONIQUE (BS, MA, QDDP)
Entity Type:Individual
Prefix:
First Name:VERONIQUE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:BS, MA, QDDP
Other - Prefix:
Other - First Name:VERONIQUE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:8825 BAILEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-1829
Mailing Address - Country:US
Mailing Address - Phone:828-301-0902
Mailing Address - Fax:
Practice Address - Street 1:8825 BAILEY HILL RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-1829
Practice Address - Country:US
Practice Address - Phone:828-301-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-2331933747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA233193Medicaid