Provider Demographics
NPI:1609761121
Name:JONES, KENDLE LASHOAN
Entity type:Individual
Prefix:
First Name:KENDLE
Middle Name:LASHOAN
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 1:4000 ARBOR TRACE DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-6734
Mailing Address - Country:US
Mailing Address - Phone:334-805-7918
Mailing Address - Fax:334-805-7918
Practice Address - Street 1:4000 ARBOR TRACE DR UNIT C
Practice Address - Street 2:
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-6734
Practice Address - Country:US
Practice Address - Phone:334-805-7918
Practice Address - Fax:334-805-7918
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9429487163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse