Provider Demographics
NPI:1699306647
Name:LUMSDEN, JAMEKIA SHAYLAMARIE (CHW)
Entity type:Individual
Prefix:MS
First Name:JAMEKIA
Middle Name:SHAYLAMARIE
Last Name:LUMSDEN
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15988 SW 29TH COURT RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-3457
Mailing Address - Country:US
Mailing Address - Phone:352-358-1269
Mailing Address - Fax:
Practice Address - Street 1:15988 SW 29TH COURT RD UNIT 2
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-3457
Practice Address - Country:US
Practice Address - Phone:352-358-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator