Provider Demographics
NPI:1790937019
Name:JONES, THERESA ANN (RN MS FNP-BC)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:RN MS FNP-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:651 N HIGHWAY 183
Mailing Address - Street 2:STE 110
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-7002
Mailing Address - Country:US
Mailing Address - Phone:512-528-0432
Mailing Address - Fax:512-528-0452
Practice Address - Street 1:651 N HIGHWAY 183
Practice Address - Street 2:SUITE 110
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-7001
Practice Address - Country:US
Practice Address - Phone:512-528-0432
Practice Address - Fax:512-528-0452
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2022-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX666174363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX666174OtherBOARD OF NURSE EXAMINERS FOR THE STATE OF TEXAS