Provider Demographics
NPI:1851998934
Name:JONES JOHNSON, SHEKELIA
Entity Type:Individual
Prefix:
First Name:SHEKELIA
Middle Name:
Last Name:JONES JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHEKELIA
Other - Middle Name:
Other - Last Name:LOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:731 DUVAL STATION RD STE 107-5
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-0800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3412 NATALIE DR S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-6532
Practice Address - Country:US
Practice Address - Phone:904-881-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9296556163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse