Provider Demographics
NPI:1578216172
Name:BHONES, JACQUELYN LETORY (RN)
Entity type:Individual
Prefix:
First Name:JACQUELYN
Middle Name:LETORY
Last Name:BHONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16920 KUYKENDAHL RD STE 229
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-1636
Mailing Address - Country:US
Mailing Address - Phone:832-661-8344
Mailing Address - Fax:281-503-7686
Practice Address - Street 1:16920 KUYKENDAHL RD STE 229
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-1636
Practice Address - Country:US
Practice Address - Phone:832-296-7709
Practice Address - Fax:281-296-7709
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX775906163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse