Provider Demographics
NPI:1861973000
Name:HOOD, IRONESHA NICOLE
Entity type:Individual
Prefix:
First Name:IRONESHA
Middle Name:NICOLE
Last Name:HOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRONESHA
Other - Middle Name:N
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1138 PASO HONDO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78202-3035
Mailing Address - Country:US
Mailing Address - Phone:210-818-2898
Mailing Address - Fax:
Practice Address - Street 1:1138 PASO HONDO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-3035
Practice Address - Country:US
Practice Address - Phone:210-818-2898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-26
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340423164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse