Provider Demographics
NPI:1972960623
Name:JONES, IRETI (RN)
Entity Type:Individual
Prefix:
First Name:IRETI
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24707 MALCA MANOR DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2561
Mailing Address - Country:US
Mailing Address - Phone:281-687-0698
Mailing Address - Fax:
Practice Address - Street 1:24707 MALCA MANOR DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2561
Practice Address - Country:US
Practice Address - Phone:281-687-0698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX766253163W00000X
251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No163W00000XNursing Service ProvidersRegistered Nurse