Provider Demographics
NPI:1013666395
Name:JONES, TWANITA
Entity Type:Individual
Prefix:
First Name:TWANITA
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 1:5625 N GERMAN CHURCH RD UNIT 2073
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-8513
Mailing Address - Country:US
Mailing Address - Phone:317-647-6878
Mailing Address - Fax:
Practice Address - Street 1:5502 E 36TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-1813
Practice Address - Country:US
Practice Address - Phone:317-647-6878
Practice Address - Fax:844-273-3367
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker