Individual
MRS. IVETTE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3705
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
685767
TX
363LP2300X
Primary Care Nurse Practitioner
685767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297853801
—
TX
01
—
297853802
CSHCN
TX
Enumeration date
08/23/2010
Last updated
08/16/2012
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