MEDICARE: CHERONIQUE JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171000000X	Military Health Care Provider
2	171W00000X	Contractor
3	372500000X	Chore Provider
4	372600000X	Adult Companion
5	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1144628702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERONIQUE JONES

Provider Business Mailing Address
First Line	:	1011 BAFFIN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-1214
Country	:	US
Telephone Number	:	281-701-7669
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 BAFFIN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-1214
Country	:	US
Telephone Number	:	281-701-7669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2014
Last Update Date	:	12/15/2014

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Directions to “ CHERONIQUE JONES ” Practice Location

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