Provider Demographics
NPI:1235947631
Name:JONES, TONYA LEE (LPN)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:LEE
Other - Last Name:KNOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:5104 S TRIPLETT RD
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-6639
Mailing Address - Country:US
Mailing Address - Phone:405-696-9425
Mailing Address - Fax:
Practice Address - Street 1:5104 S TRIPLETT RD
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-6639
Practice Address - Country:US
Practice Address - Phone:405-696-9425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0055570164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse