Individual
TEQUILA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
581 TREASURE LN, STARKVILLE, MS 39759-8770
(662) 640-4595
Mailing address
581 TREASURE LN, STARKVILLE, MS 39759-8770
(662) 694-2437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
889432
MS
171M00000X
Case Manager/Care Coordinator
889432
MS
Other
Enumeration date
02/27/2024
Last updated
12/16/2025
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