Provider Demographics
NPI:1225585706
Name:JONES, SHEILA ANN (PHD, RD, LD)
Entity type:Individual
Prefix:PROF
First Name:SHEILA
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2557
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:TX
Mailing Address - Zip Code:76430
Mailing Address - Country:US
Mailing Address - Phone:325-762-0475
Mailing Address - Fax:325-674-6788
Practice Address - Street 1:1950 ACU DRIVE
Practice Address - Street 2:STUDENT RECREATION AND WELLNESS CENTER #258
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79699
Practice Address - Country:US
Practice Address - Phone:325-762-0475
Practice Address - Fax:325-674-6788
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT03450133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered