Provider Demographics
NPI:1689354805
Name:JONES, LAPORCHIA A
Entity Type:Individual
Prefix:
First Name:LAPORCHIA
Middle Name:A
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 1:92 MCVAY RD
Mailing Address - Street 2:
Mailing Address - City:CUBA
Mailing Address - State:AL
Mailing Address - Zip Code:36907-9655
Mailing Address - Country:US
Mailing Address - Phone:205-499-3554
Mailing Address - Fax:205-499-3554
Practice Address - Street 1:92 MCVAY RD
Practice Address - Street 2:
Practice Address - City:CUBA
Practice Address - State:AL
Practice Address - Zip Code:36907-9655
Practice Address - Country:US
Practice Address - Phone:205-499-3554
Practice Address - Fax:205-499-3554
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program