Healthcare Provider Details

I. General information

NPI: 1699697607
Provider Name (Legal Business Name): SHALAIHA JONES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 ASHFORD ST
BROOKLYN NY
11207-3801
US

IV. Provider business mailing address

630 FLUSHING AVE STE 307
BROOKLYN NY
11206-5768
US

V. Phone/Fax

Practice location:
  • Phone: 929-726-5954
  • Fax:
Mailing address:
  • Phone: 718-758-5880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number950743
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: