Provider Demographics
NPI:1275754442
Name:JONES, AYANNA NZINGA (MD)
Entity Type:Individual
Prefix:DR
First Name:AYANNA
Middle Name:NZINGA
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 SMITH ST
Mailing Address - Street 2:ROOM 03004
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-7327
Mailing Address - Country:US
Mailing Address - Phone:713-372-5921
Mailing Address - Fax:
Practice Address - Street 1:1400 SMITH ST
Practice Address - Street 2:ROOM 03004
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-7327
Practice Address - Country:US
Practice Address - Phone:713-372-5921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN01392083X0100X
TNN0139207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine