Provider Demographics
NPI:1154631927
Name:JONES, DESTINY JEAN (CNA)
Entity Type:Individual
Prefix:
First Name:DESTINY
Middle Name:JEAN
Last Name:JONES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 26TH AVE EAST
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-7116
Mailing Address - Country:US
Mailing Address - Phone:941-357-3083
Mailing Address - Fax:941-746-1091
Practice Address - Street 1:4709 26TH AVE EAST
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-7116
Practice Address - Country:US
Practice Address - Phone:941-357-3083
Practice Address - Fax:941-746-1091
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA211656376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide