Provider Demographics
NPI:1831855089
Name:JONES, LANAE F (FULL SPECTRUM DOULA)
Entity type:Individual
Prefix:
First Name:LANAE
Middle Name:F
Last Name:JONES
Suffix:
Gender:F
Credentials:FULL SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5738 CEDAR AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-1932
Mailing Address - Country:US
Mailing Address - Phone:267-778-7248
Mailing Address - Fax:
Practice Address - Street 1:5738 CEDAR AVE STE 310
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1932
Practice Address - Country:US
Practice Address - Phone:267-778-7248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PANA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula