Provider Demographics
NPI:1659912350
Name:JONES, JASAINQUE
Entity Type:Individual
Prefix:
First Name:JASAINQUE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 GREENS PKWY APT 527
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-4142
Mailing Address - Country:US
Mailing Address - Phone:346-363-5447
Mailing Address - Fax:
Practice Address - Street 1:1350 GREENS PKWY APT 527
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-4142
Practice Address - Country:US
Practice Address - Phone:346-363-5447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider