=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437004009
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AKEYA JONES APRN AGCNS-BC
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2026
-----------------------------------------------------
Last Update Date | 02/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1207 DORSH RD
-----------------------------------------------------
City | SOUTH EUCLID
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44121-3835
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-598-6583
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1207 DORSH RD
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44121-3835
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-598-6583
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 364SA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Clinical Nurse Specialist
-----------------------------------------------------
License Number | 0019539
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------