Healthcare Provider Details

I. General information

NPI: 1326957812
Provider Name (Legal Business Name): SHAKERIA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4825 N 39TH ST
MILWAUKEE WI
53209-5329
US

IV. Provider business mailing address

7841 N 60TH ST
MILWAUKEE WI
53223-4177
US

V. Phone/Fax

Practice location:
  • Phone: 262-364-6153
  • Fax:
Mailing address:
  • Phone: 262-364-6153
  • Fax: 999-999-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number33518731
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: