Provider Demographics
NPI:1326844283
Name:JONES, KRISTA L
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:L
Last Name:JONES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 ENERGY ST LOT 116
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-7071
Mailing Address - Country:US
Mailing Address - Phone:701-651-4152
Mailing Address - Fax:
Practice Address - Street 1:935 ENERGY ST LOT 116
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-7071
Practice Address - Country:US
Practice Address - Phone:701-651-4152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker