Healthcare Provider Details

I. General information

NPI: 1063347672
Provider Name (Legal Business Name): SHAQUANA JONES DNP, APRN,FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 N CHURCH ST # 240098
WILMINGTON DE
19802-4447
US

IV. Provider business mailing address

2810 N CHURCH ST # 240098
WILMINGTON DE
19802-4447
US

V. Phone/Fax

Practice location:
  • Phone: 302-592-3266
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberLG-0013940
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: