Provider Demographics
NPI:1952948382
Name:JONES, STOKEMA DANIELE (CNA LPN)
Entity Type:Individual
Prefix:MISS
First Name:STOKEMA
Middle Name:DANIELE
Last Name:JONES
Suffix:
Gender:F
Credentials:CNA LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 NE CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1787
Mailing Address - Country:US
Mailing Address - Phone:772-204-5060
Mailing Address - Fax:
Practice Address - Street 1:213 NE CAMELOT DR
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1787
Practice Address - Country:US
Practice Address - Phone:772-204-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-04
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA341435251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health