Provider Demographics
NPI:1831855824
Name:LEWIS-JONES, JUANITA
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:
Last Name:LEWIS-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 1:328B BATAAN RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:VA
Mailing Address - Zip Code:23801-1304
Mailing Address - Country:US
Mailing Address - Phone:912-318-0066
Mailing Address - Fax:
Practice Address - Street 1:328B BATAAN RD UNIT B
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:VA
Practice Address - Zip Code:23801-1304
Practice Address - Country:US
Practice Address - Phone:912-318-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula