MEDICARE: ANTONIA JONES FNP-C

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	208D00000X	General Practice Physician	AP142281	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP142281	OTHER	TX	NURSE PRACTITIONER

General Provider Information

NPI Number	:	1700445244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIA JONES FNP-C

Provider Business Mailing Address
First Line	:	2930 GARDEN RIVER LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-2094
Country	:	US
Telephone Number	:	832-464-2336
Fax Number	:	281-310-8819

Provider Business Practice Location Address
First Line	:	2646 S LOOP W STE 220
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2640
Country	:	US
Telephone Number	:	832-464-2336
Fax Number	:	281-310-8819

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

Provider Enumeration Date	:	06/09/2019
Last Update Date	:	12/14/2023

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Directions to “ ANTONIA JONES FNP-C” Practice Location

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