Provider Demographics
NPI:1861978249
Name:JONES, CANDRICE ASHANTI (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CANDRICE
Middle Name:ASHANTI
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11402 FOUNTAIN BEND DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-7630
Mailing Address - Country:US
Mailing Address - Phone:832-334-3826
Mailing Address - Fax:
Practice Address - Street 1:11402 FOUNTAIN BEND DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-7630
Practice Address - Country:US
Practice Address - Phone:832-334-3826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX905759163WH0200X
TX1148320363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health