Provider Demographics
NPI:1992361844
Name:JONES, AYSEA (LVN)
Entity Type:Individual
Prefix:
First Name:AYSEA
Middle Name:
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 1:1120 WYNNCREST LN APT 1206
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7011
Mailing Address - Country:US
Mailing Address - Phone:817-231-9983
Mailing Address - Fax:
Practice Address - Street 1:1120 WYNNCREST LN APT 1206
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7011
Practice Address - Country:US
Practice Address - Phone:817-231-9983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX312282164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse