Provider Demographics
NPI:1760632202
Name:JONES, TERESA GAIL (RN, M S, FNP)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:GAIL
Last Name:JONES
Suffix:
Gender:F
Credentials:RN, M S, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 RICHMOND AVE
Mailing Address - Street 2:APT. 1918
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2421
Mailing Address - Country:US
Mailing Address - Phone:972-977-2803
Mailing Address - Fax:
Practice Address - Street 1:8011 GRAND PARKWAY WEST
Practice Address - Street 2:THE LITTLE CLINIC 44106 (INSIDE KROGER)
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8600
Practice Address - Country:US
Practice Address - Phone:281-762-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-20
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX707486363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily