Provider Demographics
NPI:1700671377
Name:JONES, HEIDI NICOLE (CLD (MATERNITYWISE))
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:NICOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:CLD (MATERNITYWISE)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 W FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-3037
Mailing Address - Country:US
Mailing Address - Phone:405-788-9367
Mailing Address - Fax:
Practice Address - Street 1:744 W FOREST DR
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-3037
Practice Address - Country:US
Practice Address - Phone:405-788-9367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCLD2025-0203374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula