Healthcare Provider Details

I. General information

NPI: 1164356721
Provider Name (Legal Business Name): MACAYLA MARIE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 COLERAIN AVE APT 9
CINCINNATI OH
45223-1080
US

IV. Provider business mailing address

5121 COLERAIN AVE APT 9
CINCINNATI OH
45223-1080
US

V. Phone/Fax

Practice location:
  • Phone: 513-580-1330
  • Fax: 513-580-1330
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number192550
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: