Provider Demographics
NPI:1588074082
Name:JONES, HORACHEL (FNP)
Entity type:Individual
Prefix:
First Name:HORACHEL
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8421
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75607-8421
Mailing Address - Country:US
Mailing Address - Phone:903-619-3519
Mailing Address - Fax:
Practice Address - Street 1:712 GLENCREST LN STE B
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5163
Practice Address - Country:US
Practice Address - Phone:903-619-3519
Practice Address - Fax:949-222-3426
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner