Provider Demographics
NPI:1891274551
Name:JONES, COURTNEY R (LVN)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:R
Last Name:JONES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30902 SWEETWATER CIR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-4727
Mailing Address - Country:US
Mailing Address - Phone:480-720-9605
Mailing Address - Fax:
Practice Address - Street 1:30902 SWEETWATER CIR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77355-4727
Practice Address - Country:US
Practice Address - Phone:480-720-9605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX328060164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse