Provider Demographics
NPI:1821688920
Name:AMMONS, JOLI ANN
Entity Type:Individual
Prefix:MRS
First Name:JOLI
Middle Name:ANN
Last Name:AMMONS
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 1:4823 LOST LAKE LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3840
Mailing Address - Country:US
Mailing Address - Phone:281-686-2877
Mailing Address - Fax:
Practice Address - Street 1:26600 KEITH ST
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8327
Practice Address - Country:US
Practice Address - Phone:281-686-2877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula