Provider Demographics
NPI:1497570675
Name:JONES, HUONG KIM
Entity type:Individual
Prefix:
First Name:HUONG
Middle Name:KIM
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 1:717 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28164-2127
Mailing Address - Country:US
Mailing Address - Phone:704-931-4997
Mailing Address - Fax:704-931-0020
Practice Address - Street 1:717 S MAIN ST
Practice Address - Street 2:
Practice Address - City:STANLEY
Practice Address - State:NC
Practice Address - Zip Code:28164-2127
Practice Address - Country:US
Practice Address - Phone:704-931-4997
Practice Address - Fax:704-931-0020
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4202376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker