Provider Demographics
NPI:1528460854
Name:JONES-MENZIES, VIRGINIA REBECCA
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:REBECCA
Last Name:JONES-MENZIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 ARGYLE BUSINESS LOOP UNIT 1706
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-8922
Mailing Address - Country:US
Mailing Address - Phone:423-534-3705
Mailing Address - Fax:
Practice Address - Street 1:8550 ARGYLE BUSINESS LOOP UNIT 1706
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-8922
Practice Address - Country:US
Practice Address - Phone:423-534-3705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233344372600000X, 376J00000X
GA11785372600000X, 374U00000X
FL233671372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide