Provider Demographics
NPI:1316463896
Name:JALA, MA ALONA LARAWAN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:MA ALONA
Middle Name:LARAWAN
Last Name:JALA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:MA ALONA
Other - Middle Name:LARAWAN
Other - Last Name:JALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:2304 DENTON CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6309
Mailing Address - Country:US
Mailing Address - Phone:956-328-6859
Mailing Address - Fax:
Practice Address - Street 1:2304 DENTON CREEK AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6309
Practice Address - Country:US
Practice Address - Phone:956-328-6859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134839363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner