Provider Demographics
NPI:1265241574
Name:JONES, SHAMIKA SHAWNTRELL
Entity type:Individual
Prefix:
First Name:SHAMIKA
Middle Name:SHAWNTRELL
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 1:177 BELLE FOREST CIR STE C
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2156
Mailing Address - Country:US
Mailing Address - Phone:292-778-5056
Mailing Address - Fax:
Practice Address - Street 1:177 BELLE FOREST CIR STE C
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2156
Practice Address - Country:US
Practice Address - Phone:292-778-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-01
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy