Provider Demographics
NPI:1871123109
Name:JONES, SHIQUITA
Entity type:Individual
Prefix:MISS
First Name:SHIQUITA
Middle Name:
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 1:120 45TH ST NE APT 432
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4685
Mailing Address - Country:US
Mailing Address - Phone:202-430-0091
Mailing Address - Fax:
Practice Address - Street 1:6323 GEORGIA AVE NW STE 104
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1137
Practice Address - Country:US
Practice Address - Phone:202-430-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker