Provider Demographics
NPI:1265210173
Name:JONES, VERA
Entity type:Individual
Prefix:
First Name:VERA
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 1:5212 97TH ST NW
Mailing Address - Street 2:
Mailing Address - City:TOLLEY
Mailing Address - State:ND
Mailing Address - Zip Code:58787-9629
Mailing Address - Country:US
Mailing Address - Phone:701-833-1432
Mailing Address - Fax:
Practice Address - Street 1:206 3RD ST NW
Practice Address - Street 2:
Practice Address - City:MOHALL
Practice Address - State:ND
Practice Address - Zip Code:58761-4105
Practice Address - Country:US
Practice Address - Phone:701-833-1432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant