Provider Demographics
NPI:1245203694
Name:JONES, V. LEIALOHA (CPNP)
Entity type:Individual
Prefix:MS
First Name:V. LEIALOHA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:LEIALOHA
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:1670 AF PENTAGON
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20330-0001
Mailing Address - Country:US
Mailing Address - Phone:703-693-4992
Mailing Address - Fax:
Practice Address - Street 1:9607 RENTON DR
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3015
Practice Address - Country:US
Practice Address - Phone:703-693-4992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO073691363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics