Provider Demographics
NPI:1629943188
Name:JONES, TAWANDA LASHAY
Entity type:Individual
Prefix:
First Name:TAWANDA
Middle Name:LASHAY
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LASHAY
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8196 HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2723
Mailing Address - Country:US
Mailing Address - Phone:913-437-4382
Mailing Address - Fax:913-258-5765
Practice Address - Street 1:8196 HALSEY ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2723
Practice Address - Country:US
Practice Address - Phone:913-437-4382
Practice Address - Fax:913-258-5765
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty