Provider Demographics
NPI:1598290843
Name:JONES, NICOLE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ELIZABETH
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 1:6670 BERTNER AVE # R2-216
Mailing Address - Street 2:HOUSTON METHODIST HOSPITAL - GRADUATE MEDICAL EDUCATION
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2602
Mailing Address - Country:US
Mailing Address - Phone:713-441-1577
Mailing Address - Fax:
Practice Address - Street 1:6670 BERTNER AVE # R2-216
Practice Address - Street 2:HOUSTON METHODIST HOSPITAL - GRADUATE MEDICAL EDUCATION
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2602
Practice Address - Country:US
Practice Address - Phone:713-441-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program