MEDICARE: SANEKA JONES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	988037	TX

General Provider Information

NPI Number	:	1588286512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANEKA JONES

Provider Business Mailing Address
First Line	:	6114 AUTUMN SPRINGS DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-5003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6114 AUTUMN SPRINGS DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-5003
Country	:	US
Telephone Number	:	469-805-2215
Fax Number	:

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

Provider Enumeration Date	:	05/13/2020
Last Update Date	:	05/13/2020

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Directions to “ SANEKA JONES ” Practice Location

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