Provider Demographics
NPI:1750828356
Name:JONES, TONYA KAY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:KAY
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 NW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-6410
Mailing Address - Country:US
Mailing Address - Phone:405-761-7845
Mailing Address - Fax:
Practice Address - Street 1:1503 S MISSION ST # A
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-5815
Practice Address - Country:US
Practice Address - Phone:405-247-1100
Practice Address - Fax:405-247-1155
Is Sole Proprietor?:No
Enumeration Date:2017-01-21
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK83198363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily