Provider Demographics
NPI:1699429019
Name:JONES, SHIRLEY L
Entity type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:L
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 1:8800 49TH ST N STE 204
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5339
Mailing Address - Country:US
Mailing Address - Phone:727-851-3491
Mailing Address - Fax:
Practice Address - Street 1:8800 49TH ST N STE 204
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5339
Practice Address - Country:US
Practice Address - Phone:727-565-6075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care