Provider Demographics
NPI:1154927077
Name:JONES, CHRISTIE S
Entity type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:S
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 1:13000 VISTA DEL NORTE APT 633
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-8056
Mailing Address - Country:US
Mailing Address - Phone:762-207-7595
Mailing Address - Fax:
Practice Address - Street 1:13000 VISTA DEL NORTE APT 633
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-8056
Practice Address - Country:US
Practice Address - Phone:762-207-7595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1015089164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse