Provider Demographics
NPI:1275123002
Name:JONES, LEAH YVONNE
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:YVONNE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:COOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4302 LAUREN MACKENZIE
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-5477
Mailing Address - Country:US
Mailing Address - Phone:254-394-0465
Mailing Address - Fax:
Practice Address - Street 1:4302 LAUREN MACKENZIE
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-5477
Practice Address - Country:US
Practice Address - Phone:254-394-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program