Provider Demographics
NPI:1871066431
Name:JONES, TASHEMA MARIA
Entity type:Individual
Prefix:
First Name:TASHEMA
Middle Name:MARIA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TASHEMA
Other - Middle Name:M
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:502 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:GA
Mailing Address - Zip Code:31305-9311
Mailing Address - Country:US
Mailing Address - Phone:912-602-1376
Mailing Address - Fax:
Practice Address - Street 1:502 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:GA
Practice Address - Zip Code:31305-9311
Practice Address - Country:US
Practice Address - Phone:912-602-1376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-07
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
010720199OtherHOME HEALTH