Provider Demographics
NPI:1578044004
Name:JONES, KAYLA DANYELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:DANYELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 DICKORY AVE APT A105
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70123-2278
Mailing Address - Country:US
Mailing Address - Phone:901-846-3674
Mailing Address - Fax:
Practice Address - Street 1:800 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2306
Practice Address - Country:US
Practice Address - Phone:504-528-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist