Provider Demographics
NPI:1013009489
Name:JONES, WILLISHEA LANAE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLISHEA
Middle Name:LANAE
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1388 BALKIN RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32305-7203
Mailing Address - Country:US
Mailing Address - Phone:850-574-8811
Mailing Address - Fax:850-671-3981
Practice Address - Street 1:110 PAUL RUSSELL RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-6977
Practice Address - Country:US
Practice Address - Phone:850-671-5985
Practice Address - Fax:850-671-3981
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist