Provider Demographics
NPI:1073276812
Name:JONES, SASHEENA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:SASHEENA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ASHLAND PL APT 10S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3993
Mailing Address - Country:US
Mailing Address - Phone:718-753-4639
Mailing Address - Fax:
Practice Address - Street 1:300 ASHLAND PL APT 10S
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3993
Practice Address - Country:US
Practice Address - Phone:718-753-4639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY812277163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool