Healthcare Provider Details

I. General information

NPI: 1497077192
Provider Name (Legal Business Name): TERENCE JONES FISHER LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2010
Last Update Date: 01/05/2022
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19719 LAJUANA LN
SPRING TX
77388-6119
US

IV. Provider business mailing address

19719 LAJUANA LN
SPRING TX
77388-6119
US

V. Phone/Fax

Practice location:
  • Phone: 281-528-0769
  • Fax: 281-528-0769
Mailing address:
  • Phone: 281-528-0769
  • Fax: 281-528-0769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: