Provider Demographics
NPI:1295596039
Name:JONES, LASHONDA NIKOLE
Entity type:Individual
Prefix:
First Name:LASHONDA
Middle Name:NIKOLE
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 1:6632 STONEY PT S
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3918
Mailing Address - Country:US
Mailing Address - Phone:757-235-7689
Mailing Address - Fax:
Practice Address - Street 1:6632 STONEY PT S
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3918
Practice Address - Country:US
Practice Address - Phone:757-235-7689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services