Provider Demographics
NPI:1144110180
Name:JONES, VOWLINDA KATINA
Entity type:Individual
Prefix:
First Name:VOWLINDA
Middle Name:KATINA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 SUMMER GLEN LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-3804
Mailing Address - Country:US
Mailing Address - Phone:314-333-9055
Mailing Address - Fax:314-333-9055
Practice Address - Street 1:543 SUMMER GLEN LN
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-3804
Practice Address - Country:US
Practice Address - Phone:314-333-9055
Practice Address - Fax:314-333-9055
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MON20835007172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver