Healthcare Provider Details

I. General information

NPI: 1023799608
Provider Name (Legal Business Name): JAALA JONES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAALA KITTS LPN

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6515 BABINA DR
ADDIS LA
70710-2472
US

IV. Provider business mailing address

6515 BABINA DR
ADDIS LA
70710-2472
US

V. Phone/Fax

Practice location:
  • Phone: 225-397-1541
  • Fax:
Mailing address:
  • Phone: 225-397-1541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number216643
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number216643
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: