Provider Demographics
NPI:1528395241
Name:JONES, NEEYA AZIZA (LPN)
Entity Type:Individual
Prefix:
First Name:NEEYA
Middle Name:AZIZA
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 1:3644 PLATINA PARK CT
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-5723
Mailing Address - Country:US
Mailing Address - Phone:404-990-2939
Mailing Address - Fax:
Practice Address - Street 1:3644 PLATINA PARK CT
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-5723
Practice Address - Country:US
Practice Address - Phone:404-990-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN132565164W00000X
GALPN088314164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty