Individual ProviderTheresa Dawn JonesCase Manager/Care CoordinatorOther Service ProvidersPractice Address1010 E 45th St, Shawnee, OK 74804-22021405694966(405) 273-1170PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Dawn Jones does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1972105021Provider TypeIndividualFull NameJones, Theresa DawnGenderFemaleSole ProprietorNoEnumeration Date11/13/2020Last Updated2/28/2025Contact InformationPractice LocationPractice Address1010 E 45th St, Shawnee, OK 74804-2202Phone1405694966Fax(405) 214-4412Mailing LocationMailing Address36609 45th St, Shawnee, OK 74804-8882Phone(405) 273-1170Fax(405) 275-5132Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode175T00000XDescriptionPeer SpecialistOther Service ProvidersLicenseUnlisted Issuer