Provider Demographics
NPI:1679073787
Name:JONES, EDWARD JASON (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:JASON
Last Name:JONES
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S CLAY ST STE A
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-4530
Mailing Address - Country:US
Mailing Address - Phone:903-229-4292
Mailing Address - Fax:972-875-8866
Practice Address - Street 1:206 S CLAY ST STE A
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-4530
Practice Address - Country:US
Practice Address - Phone:903-229-4292
Practice Address - Fax:903-229-4288
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX785676163W00000X
TX1107091363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse