Provider Demographics
NPI:1649081720
Name:JONES, LAKAYSHA (NBC-HWC)
Entity type:Individual
Prefix:
First Name:LAKAYSHA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NBC-HWC
Mailing Address - Street 1:11111 SAN JOSE BLVD STE 56
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-7274
Mailing Address - Country:US
Mailing Address - Phone:904-559-8519
Mailing Address - Fax:
Practice Address - Street 1:11111 SAN JOSE BLVD STE 56
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-7274
Practice Address - Country:US
Practice Address - Phone:904-559-8519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach