Provider Demographics
NPI:1003651738
Name:COHILL-JONES, SHIRLEY FAYE
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:FAYE
Last Name:COHILL-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 1:505 20TH ST N
Mailing Address - Street 2:SUITE 1220 #1458
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-4606
Mailing Address - Country:US
Mailing Address - Phone:205-641-4979
Mailing Address - Fax:
Practice Address - Street 1:505 20TH ST N STE 1220
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-4606
Practice Address - Country:US
Practice Address - Phone:205-641-4979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty