Provider Demographics
NPI:1699507368
Name:JONES, QIANA (CNA, MOA)
Entity type:Individual
Prefix:
First Name:QIANA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:CNA, MOA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5309 DUNN RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-1677
Mailing Address - Country:US
Mailing Address - Phone:314-498-6883
Mailing Address - Fax:
Practice Address - Street 1:5309 DUNN RIDGE CT
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1677
Practice Address - Country:US
Practice Address - Phone:314-498-6883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide