Provider Demographics
NPI:1235890583
Name:JONES, NATASHA LASHAWN
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:LASHAWN
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 COOK AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2433
Mailing Address - Country:US
Mailing Address - Phone:330-518-8077
Mailing Address - Fax:
Practice Address - Street 1:929 COOK AVE APT 2
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-2433
Practice Address - Country:US
Practice Address - Phone:330-518-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide