Healthcare Provider Details

I. General information

NPI: 1447923883
Provider Name (Legal Business Name): DONNA DENISE JONES BSN RN-BC NCM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 07/30/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10010 ROGERS XING STE 100
SAN ANTONIO TX
78251-4766
US

IV. Provider business mailing address

10010 ROGERS XING STE 100 ATTN. DONNA JONES CLINICAL NURSE CASE MANAGER
SAN ANTONIO TX
78251-4766
US

V. Phone/Fax

Practice location:
  • Phone: 210-539-0910
  • Fax: 210-521-2577
Mailing address:
  • Phone: 210-725-5186
  • Fax: 210-521-2577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number650313
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: