Healthcare Provider Details

I. General information

NPI: 1982509873
Provider Name (Legal Business Name): TASHIA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

615 SAINT GEORGE SQUARE CT
WINSTON SALEM NC
27103-1356
US

IV. Provider business mailing address

615 SAINT GEORGE SQUARE CT
WINSTON SALEM NC
27103-1356
US

V. Phone/Fax

Practice location:
  • Phone: 336-782-4321
  • Fax: 336-464-2277
Mailing address:
  • Phone: 336-782-4321
  • Fax: 336-464-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: