Provider Demographics
NPI:1457179640
Name:JONES, ASHLEE JORDAN
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:JORDAN
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 1:203 N 10TH ST APT 102
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-1722
Mailing Address - Country:US
Mailing Address - Phone:531-213-8392
Mailing Address - Fax:
Practice Address - Street 1:203 N 10TH ST APT 102
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-1722
Practice Address - Country:US
Practice Address - Phone:531-213-8392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant