Healthcare Provider Details

I. General information

NPI: 1134051147
Provider Name (Legal Business Name): DEAUVIONCE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 VALLEY ST
OMAHA NE
68124-3542
US

IV. Provider business mailing address

1299 FARNAM ST
OMAHA NE
68102-1880
US

V. Phone/Fax

Practice location:
  • Phone: 712-561-6717
  • Fax:
Mailing address:
  • Phone: 775-432-5308
  • Fax: 775-432-5308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: