Provider Demographics
NPI:1326552647
Name:JONES, KEYSHA M
Entity type:Individual
Prefix:MS
First Name:KEYSHA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KEYSHA
Other - Middle Name:M
Other - Last Name:PINKNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:100 CHURCH LN
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3705
Mailing Address - Country:US
Mailing Address - Phone:443-836-5793
Mailing Address - Fax:
Practice Address - Street 1:100 CHURCH LN
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3705
Practice Address - Country:US
Practice Address - Phone:443-836-5793
Practice Address - Fax:410-847-2523
Is Sole Proprietor?:No
Enumeration Date:2017-11-22
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR165979363LF0000X, 363LP0808X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care