Provider Demographics
NPI:1679385017
Name:JONES, JADA MARIE
Entity type:Individual
Prefix:
First Name:JADA
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12475 WOOD FOREST DR APT 1801
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77013-6125
Mailing Address - Country:US
Mailing Address - Phone:832-469-1524
Mailing Address - Fax:
Practice Address - Street 1:12475 WOOD FOREST DR APT 1801
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77013-6125
Practice Address - Country:US
Practice Address - Phone:832-469-1524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver