Provider Demographics
NPI:1841772266
Name:UDECHUKWU JONES, ROSE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:UDECHUKWU JONES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2327 RED SLATE DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-1478
Mailing Address - Country:US
Mailing Address - Phone:832-343-5890
Mailing Address - Fax:
Practice Address - Street 1:2327 RED SLATE DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-1478
Practice Address - Country:US
Practice Address - Phone:832-343-5890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1119113363LP0808X
TX846622163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health