Healthcare Provider Details

I. General information

NPI: 1104537950
Provider Name (Legal Business Name): JO'NESHA PARTLOW DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 S WOODLAND BLVD
DELAND FL
32720-7915
US

IV. Provider business mailing address

2922 HOWLAND BLVD STE 2
DELTONA FL
32725-2900
US

V. Phone/Fax

Practice location:
  • Phone: 386-414-7440
  • Fax: 386-873-6794
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14320
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: