Provider Demographics
NPI:1417755919
Name:JONES, TAMIKA NICOLE
Entity type:Individual
Prefix:
First Name:TAMIKA
Middle Name:NICOLE
Last Name:JONES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6129 NW FLOWERS RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32331-4724
Mailing Address - Country:US
Mailing Address - Phone:850-948-2262
Mailing Address - Fax:
Practice Address - Street 1:6129 NW FLOWERS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:FL
Practice Address - Zip Code:32331-4724
Practice Address - Country:US
Practice Address - Phone:850-464-1545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker