Provider Demographics
NPI:1336750165
Name:JONES, JENNA ADRIENNE
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:ADRIENNE
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 1:2424 TULANE AVE APT 405
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-7557
Mailing Address - Country:US
Mailing Address - Phone:409-960-4340
Mailing Address - Fax:
Practice Address - Street 1:2424 TULANE AVE APT 405
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7557
Practice Address - Country:US
Practice Address - Phone:409-960-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX869731163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse