Provider Demographics
NPI:1104639079
Name:JONES, ANITA KAY
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:KAY
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 1:744 CHARLESTON ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-1133
Mailing Address - Country:US
Mailing Address - Phone:402-560-6208
Mailing Address - Fax:
Practice Address - Street 1:744 CHARLESTON ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1133
Practice Address - Country:US
Practice Address - Phone:402-560-6208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider