Provider Demographics
NPI:1730440801
Name:JONES, SHEILA LWIGALE (LVN)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:LWIGALE
Last Name:JONES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 STEPHANIE CT
Mailing Address - Street 2:APT 320
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-2040
Mailing Address - Country:US
Mailing Address - Phone:760-402-3654
Mailing Address - Fax:
Practice Address - Street 1:1050 STEPHANIE CT
Practice Address - Street 2:APT 320
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2040
Practice Address - Country:US
Practice Address - Phone:760-402-3654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 230039164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse