Provider Demographics
NPI:1942551452
Name:JONES, SHARON DENISE (LPN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:DENISE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:8131 COLERIDGE CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-2426
Mailing Address - Country:US
Mailing Address - Phone:904-716-8595
Mailing Address - Fax:
Practice Address - Street 1:8131 COLERIDGE CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-2426
Practice Address - Country:US
Practice Address - Phone:904-716-8595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5155714164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse