Basic Information
Provider Information
NPI: 1750411005
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: JULIE
MiddleName: S.
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 73627
Address2:  
City: HOUSTON
State: TX
PostalCode: 772733627
CountryCode: US
TelephoneNumber: 2814443278
FaxNumber: 8322493861
Practice Location
Address1: 17350 ST. LUKES WAY
Address2: STE 400
City: THE WOODLANDS
State: TX
PostalCode: 773844167
CountryCode: US
TelephoneNumber: 2814443278
FaxNumber: 8322493761
Other Information
ProviderEnumerationDate: 03/06/2007
LastUpdateDate: 07/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WG0000X710722TXN Nursing Service ProvidersRegistered NurseGeneral Practice
363L00000X710722TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363L00000XAP113570TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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