Provider Demographics
NPI:1922980119
Name:JONES, ALIDA (RN)
Entity type:Individual
Prefix:
First Name:ALIDA
Middle Name:
Last Name:JONES
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 1:721 HUFFINES BLVD
Mailing Address - Street 2:
Mailing Address - City:LUCAS
Mailing Address - State:TX
Mailing Address - Zip Code:75098-2087
Mailing Address - Country:US
Mailing Address - Phone:972-754-2851
Mailing Address - Fax:
Practice Address - Street 1:721 HUFFINES BLVD
Practice Address - Street 2:
Practice Address - City:LUCAS
Practice Address - State:TX
Practice Address - Zip Code:75098-2087
Practice Address - Country:US
Practice Address - Phone:972-754-2851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX757602163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse