Provider Demographics
NPI:1780761577
Name:JONES, HEIDI ANN (DC)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3319 FOLSOM BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5329
Mailing Address - Country:US
Mailing Address - Phone:916-450-0800
Mailing Address - Fax:916-450-0802
Practice Address - Street 1:3414 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5312
Practice Address - Country:US
Practice Address - Phone:916-450-0800
Practice Address - Fax:916-450-0802
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
CADC26973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC26973OtherLICENSE
CADC0269730Medicare UPIN