Provider Demographics
NPI:1356655518
Name:JONES, TONYA RENEE (LPN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:RENEE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 NW WASHINGTON BLVD APT 9
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-6307
Mailing Address - Country:US
Mailing Address - Phone:513-344-6283
Mailing Address - Fax:
Practice Address - Street 1:1190 NW WASHINGTON BLVD APT 9
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-6307
Practice Address - Country:US
Practice Address - Phone:513-344-6283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH135024164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse