Provider Demographics
NPI:1487469433
Name:JONES, CASSANDRA L
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:L
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:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:ALDA
Mailing Address - State:NE
Mailing Address - Zip Code:68810-0267
Mailing Address - Country:US
Mailing Address - Phone:308-850-0047
Mailing Address - Fax:
Practice Address - Street 1:206 E PINE ST
Practice Address - Street 2:
Practice Address - City:ALDA
Practice Address - State:NE
Practice Address - Zip Code:68810-9690
Practice Address - Country:US
Practice Address - Phone:308-850-0047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant