Provider Demographics
NPI:1740780758
Name:JONES, BOBBIE SYLVIA
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:SYLVIA
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 1:3833 NOTRE DAME CIR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-7441
Mailing Address - Country:US
Mailing Address - Phone:325-280-8516
Mailing Address - Fax:
Practice Address - Street 1:3833 NOTRE DAME CIR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-7441
Practice Address - Country:US
Practice Address - Phone:325-280-8516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant