Healthcare Provider Details

I. General information

NPI: 1225856396
Provider Name (Legal Business Name): AKETA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2024
Last Update Date: 09/28/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 WOODMONT LN NW # 2426
ATLANTA GA
30318-2866
US

IV. Provider business mailing address

1445 WOODMONT LN NW # 2426
ATLANTA GA
30318-2866
US

V. Phone/Fax

Practice location:
  • Phone: 770-954-6112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: