Provider Demographics
NPI:1285744409
Name:DEANNA M JONES
Entity type:Organization
Organization Name:DEANNA M JONES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:903-463-6700
Mailing Address - Street 1:1001 W MAIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-3391
Mailing Address - Country:US
Mailing Address - Phone:903-463-6700
Mailing Address - Fax:903-463-6704
Practice Address - Street 1:1001 W. MAIN STREET
Practice Address - Street 2:SUITE 106
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-3730
Practice Address - Country:US
Practice Address - Phone:903-463-6700
Practice Address - Fax:903-463-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010612251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1913261Medicaid
TX679677Medicare Oscar/Certification