Provider Demographics
NPI:1578304184
Name:JONES, AKASIA L
Entity type:Individual
Prefix:
First Name:AKASIA
Middle Name:L
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 1:1005 BOWSPRIT AVE NW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-9485
Mailing Address - Country:US
Mailing Address - Phone:321-317-0593
Mailing Address - Fax:
Practice Address - Street 1:1005 BOWSPRIT AVE NW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-9485
Practice Address - Country:US
Practice Address - Phone:321-317-0593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X, 251E00000X, 3336H0001X, 374U00000X, 376K00000X
FL5257653164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty