Provider Demographics
NPI:1255883666
Name:WARNER, JONNA LENORA (PTA)
Entity type:Individual
Prefix:
First Name:JONNA
Middle Name:LENORA
Last Name:WARNER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:JONNA
Other - Middle Name:LENORA
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:806 RIDGEGATE PL
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-1960
Mailing Address - Country:US
Mailing Address - Phone:256-652-7776
Mailing Address - Fax:
Practice Address - Street 1:1145 ROSS ST
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-4421
Practice Address - Country:US
Practice Address - Phone:956-361-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2125596171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor