Provider Demographics
NPI:1760808497
Name:JONES, LASHELLE S
Entity Type:Individual
Prefix:
First Name:LASHELLE
Middle Name:S
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 1:4417 RENA RD
Mailing Address - Street 2:APT 4
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-3614
Mailing Address - Country:US
Mailing Address - Phone:202-679-5782
Mailing Address - Fax:
Practice Address - Street 1:4417 RENA RD
Practice Address - Street 2:APT 4
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-3614
Practice Address - Country:US
Practice Address - Phone:202-679-5782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA10277374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide