Provider Demographics
NPI:1508964875
Name:JONES, CATHERINE S (PHD, RN, ANP-C)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:S
Last Name:JONES
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Gender:F
Credentials:PHD, RN, ANP-C
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Mailing Address - Street 1:601 OMEGA DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2075
Mailing Address - Country:US
Mailing Address - Phone:817-465-5881
Mailing Address - Fax:817-465-6336
Practice Address - Street 1:1604 HOSPITAL PKWY
Practice Address - Street 2:STE 403
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6932
Practice Address - Country:US
Practice Address - Phone:817-354-9545
Practice Address - Fax:817-354-8157
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2015-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP100568363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB102261Medicare PIN
TX044372301Medicaid