Provider Demographics
NPI:1336809821
Name:JONES, CHESICA DANIELLE (DC)
Entity Type:Individual
Prefix:
First Name:CHESICA
Middle Name:DANIELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHESICA
Other - Middle Name:DANIELLE
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5030 CARNOUSTIE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-9538
Mailing Address - Country:US
Mailing Address - Phone:360-941-3652
Mailing Address - Fax:
Practice Address - Street 1:161 COUNTRY ESTATES CIR STE 1B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4022
Practice Address - Country:US
Practice Address - Phone:775-900-7849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor