Provider Demographics
NPI:1477832236
Name:JONES, SHAUMEKA
Entity Type:Individual
Prefix:
First Name:SHAUMEKA
Middle Name:
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 1:1301 W HEFNER RD
Mailing Address - Street 2:#1901
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7129
Mailing Address - Country:US
Mailing Address - Phone:918-816-1748
Mailing Address - Fax:
Practice Address - Street 1:1301 W HEFNER RD
Practice Address - Street 2:#1901
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7129
Practice Address - Country:US
Practice Address - Phone:918-816-1748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation