Provider Demographics
NPI:1497377147
Name:JONES, TREMEKA LA'DORIS (LPN)
Entity Type:Individual
Prefix:MS
First Name:TREMEKA
Middle Name:LA'DORIS
Last Name:JONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 85813
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-0035
Mailing Address - Country:US
Mailing Address - Phone:803-318-5982
Mailing Address - Fax:
Practice Address - Street 1:140 STONERIDGE DR STE 430
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-8276
Practice Address - Country:US
Practice Address - Phone:839-213-5769
Practice Address - Fax:803-961-6435
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X, 251E00000X
SC51514164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health