MEDICARE: D'ANDRA NICOLE JONES RN

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	163WI0500X	Infusion Therapy Registered Nurse	1016443	TX

General Provider Information

NPI Number	:	1982455168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	D'ANDRA NICOLE JONES RN

Provider Business Mailing Address
First Line	:	3210 GULF FWY APT 6108
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-2843
Country	:	US
Telephone Number	:	409-621-6433
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 SOUTHWEST FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4520
Country	:	US
Telephone Number	:	409-621-6433
Fax Number	:

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

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	10/16/2025

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