Provider Demographics
NPI:1780558668
Name:JONES, TERRY (HIS)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 CALDWELL BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-6407
Mailing Address - Country:US
Mailing Address - Phone:208-463-4900
Mailing Address - Fax:208-465-6322
Practice Address - Street 1:2635 CALDWELL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-6407
Practice Address - Country:US
Practice Address - Phone:208-463-4900
Practice Address - Fax:208-465-6322
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID7471747237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist