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1174873673 NPI number — KENYA YOLONDA JONES III MEDICAL ASSISTANT

NPI Number: 1174873673
Health Care Provider/Practitioner: KENYA YOLONDA JONES III MEDICAL ASSISTANT

Information about “1174873673” NPI (KENYA YOLONDA JONES III MEDICAL ASSISTANT) exists in 1174873673 in HTML format HTML  |  1174873673 in plain Text format TXT  |  1174873673 in PDF (Portable Document Format) PDF  |  1174873673 in an XML format XML  formats.

NPI Number : 1174873673 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174873673",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONES",
    "FirstName": "KENYA",
    "MiddleName": "YOLONDA",
    "NamePrefix": "MS.",
    "NameSuffix": "III",
    "Credential": "MEDICAL ASSISTANT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2625 CHARLESTOWN DR APT 14-F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLLEGEPARK",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30337",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-707-0527",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2625 CHARLESTOWN DR APT 14-F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLLEGEPARK",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30337",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-707-0527",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/12/2012",
    "LastUpdateDate": "09/12/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "376K00000X",
        "TaxonomyName": "Nurse's Aide",
        "LicenseNumber": "060R1066",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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