Provider Demographics
NPI:1972274272
Name:JONES, LASHUN DENISE (RN)
Entity type:Individual
Prefix:MRS
First Name:LASHUN
Middle Name:DENISE
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10147 FREEDOMS WAY
Mailing Address - Street 2:
Mailing Address - City:KEITHVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71047-8950
Mailing Address - Country:US
Mailing Address - Phone:318-925-1561
Mailing Address - Fax:
Practice Address - Street 1:10147 FREEDOMS WAY
Practice Address - Street 2:
Practice Address - City:KEITHVILLE
Practice Address - State:LA
Practice Address - Zip Code:71047-8950
Practice Address - Country:US
Practice Address - Phone:318-780-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-26
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA141718163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse