Provider Demographics
NPI:1356935498
Name:JONES, DENISE RENEE (LVN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:RENEE
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 1:523 COCHRAN DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-5692
Mailing Address - Country:US
Mailing Address - Phone:816-405-1769
Mailing Address - Fax:
Practice Address - Street 1:523 COCHRAN DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-5692
Practice Address - Country:US
Practice Address - Phone:816-405-1769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX266535183700000X
347C00000X
TX1013030164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No183700000XPharmacy Service ProvidersPharmacy Technician
No347C00000XTransportation ServicesPrivate Vehicle