Provider Demographics
NPI:1437981347
Name:JONES, JACQUELINE ZOE ANN (HCA)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:ZOE ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:HCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11828 185TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-6420
Mailing Address - Country:US
Mailing Address - Phone:206-779-0492
Mailing Address - Fax:
Practice Address - Street 1:11828 185TH AVE SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-6420
Practice Address - Country:US
Practice Address - Phone:206-779-0492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health