Provider Demographics
NPI:1942586227
Name:JONES, HALEY
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:JONES
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 1:13831 CHALCO VALLEY PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68138-6101
Mailing Address - Country:US
Mailing Address - Phone:402-592-5244
Mailing Address - Fax:402-763-6521
Practice Address - Street 1:13831 CHALCO VALLEY PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68138-6101
Practice Address - Country:US
Practice Address - Phone:402-592-5244
Practice Address - Fax:402-763-6521
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician