Provider Demographics
NPI:1396051132
Name:JONES, TENICIA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:TENICIA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 W PLEASANT RUN RD STE 340
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1074
Mailing Address - Country:US
Mailing Address - Phone:254-324-7231
Mailing Address - Fax:888-900-4530
Practice Address - Street 1:2700 W PLEASANT RUN RD STE 340
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1074
Practice Address - Country:US
Practice Address - Phone:254-324-7231
Practice Address - Fax:888-900-4530
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134050363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX216051704Medicaid