Healthcare Provider Details

I. General information

NPI: 1851110324
Provider Name (Legal Business Name): GABRIELLE MARIE JONES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LITTLE OAK WAY
ROUND ROCK TX
78681-5517
US

IV. Provider business mailing address

6034 W COURTYARD DR STE 110
AUSTIN TX
78730-5064
US

V. Phone/Fax

Practice location:
  • Phone: 512-255-8868
  • Fax:
Mailing address:
  • Phone: 512-328-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1135129
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1135129
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: