Provider Demographics
NPI:1114745650
Name:JONES-ACREY, LASHONDA
Entity type:Individual
Prefix:MRS
First Name:LASHONDA
Middle Name:
Last Name:JONES-ACREY
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 1:3226 COOPER AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3028
Mailing Address - Country:US
Mailing Address - Phone:856-882-9260
Mailing Address - Fax:
Practice Address - Street 1:3226 COOPER AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-3028
Practice Address - Country:US
Practice Address - Phone:856-882-9260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAL200038211376G00000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator
No174400000XOther Service ProvidersSpecialist