Provider Demographics
NPI:1326763459
Name:JONES HAGANS, VALONDA L
Entity Type:Individual
Prefix:
First Name:VALONDA
Middle Name:L
Last Name:JONES HAGANS
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 1:3746 WIEMAN AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45205-1761
Mailing Address - Country:US
Mailing Address - Phone:859-391-0232
Mailing Address - Fax:
Practice Address - Street 1:3746 WIEMAN AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45205-1761
Practice Address - Country:US
Practice Address - Phone:859-391-0232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide