Provider Demographics
NPI:1720385768
Name:JONES, LATOYA MONIQUE (LPN)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:MONIQUE
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 1:3947 SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-1528
Mailing Address - Country:US
Mailing Address - Phone:315-622-0676
Mailing Address - Fax:
Practice Address - Street 1:3947 SANDPIPER LN
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-1528
Practice Address - Country:US
Practice Address - Phone:315-622-0676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270322164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse