Provider Demographics
NPI:1700445244
Name:JONES, ANTONIA (FNP-C)
Entity type:Individual
Prefix:
First Name:ANTONIA
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 1:2930 GARDEN RIVER LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2094
Mailing Address - Country:US
Mailing Address - Phone:832-464-2336
Mailing Address - Fax:281-310-8819
Practice Address - Street 1:2646 S LOOP W STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2640
Practice Address - Country:US
Practice Address - Phone:832-464-2336
Practice Address - Fax:281-310-8819
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-09
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142281208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP142281OtherNURSE PRACTITIONER