Provider Demographics
NPI:1891672606
Name:JONES, KEISHA DAMALI
Entity type:Individual
Prefix:
First Name:KEISHA
Middle Name:DAMALI
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 1:2816 KIMBALL TER
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-4509
Mailing Address - Country:US
Mailing Address - Phone:678-974-9306
Mailing Address - Fax:678-974-9306
Practice Address - Street 1:2816 KIMBALL TER
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-4509
Practice Address - Country:US
Practice Address - Phone:678-974-9306
Practice Address - Fax:678-974-9306
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001318568163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator