Doctor Name: | MS. V. LEIALOHA JONES |
NPI Number: | 1245203694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 073691 |
Business Practice Address: | 9607 Renton Dr Burke, VA - 220153015 |
Business Phone Number: | 7036934992 |
Business Fax Number: | |
Mailing Address: | 1670 Af Pentagon, WASHINGTON |
State: | DC |
Postal Code: | 203300001 |
Phone Number: | 7036934992 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 073691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |