Provider Demographics
NPI:1245742543
Name:JONES, KELLI LARKINS (RN, BSN, MBA)
Entity Type:Individual
Prefix:MRS
First Name:KELLI
Middle Name:LARKINS
Last Name:JONES
Suffix:
Gender:F
Credentials:RN, BSN, MBA
Other - Prefix:MISS
Other - First Name:KELLI
Other - Middle Name:MARIE
Other - Last Name:LARKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2014 LONE PINE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6373
Mailing Address - Country:US
Mailing Address - Phone:713-775-3743
Mailing Address - Fax:281-344-1108
Practice Address - Street 1:2014 LONE PINE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6373
Practice Address - Country:US
Practice Address - Phone:713-775-3743
Practice Address - Fax:281-344-1108
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator