Provider Demographics
NPI:1740082643
Name:JONES, TODDRICK MARQUIS
Entity type:Individual
Prefix:
First Name:TODDRICK
Middle Name:MARQUIS
Last Name:JONES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 N 16TH AVE CT
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-2427
Mailing Address - Country:US
Mailing Address - Phone:531-232-5664
Mailing Address - Fax:
Practice Address - Street 1:1809 N 16TH AVE CT
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-2427
Practice Address - Country:US
Practice Address - Phone:531-232-5664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider