Individual
KELLY A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207
(210) 358-3555
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP135985
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400063001
—
TX
Enumeration date
11/10/2009
Last updated
08/30/2019
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