MEDICARE: SHARIFA JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558051011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARIFA JONES

Provider Business Mailing Address
First Line	:	1702 TODDS LN STE 272
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-3198
Country	:	US
Telephone Number	:	757-300-6506
Fax Number	:	888-606-2001

Provider Business Practice Location Address
First Line	:	1702 TODDS LN STE 272
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-3198
Country	:	US
Telephone Number	:	757-300-6506
Fax Number	:	888-606-2001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2023
Last Update Date	:	06/01/2026

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Practice Location Address:

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1992656011 — PURELIFE HEALTHCARE SERVICES LLC
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1992637417 — TIMOTHY RICHARD DOTY
Practice Location Address:

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1578495032 — BREANNA YAMETRI POORAN PA-C
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1659203818 — MALIK EDMONDS LCSW
Practice Location Address:

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Directions to “ SHARIFA JONES ” Practice Location

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