Provider Demographics
NPI:1730977604
Name:JONES, JAMELA NATASHA (LVN)
Entity type:Individual
Prefix:
First Name:JAMELA
Middle Name:NATASHA
Last Name:JONES
Suffix:
Gender:
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7640 W STOCKTON BLVD UNIT 324
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5468
Mailing Address - Country:US
Mailing Address - Phone:360-764-9245
Mailing Address - Fax:
Practice Address - Street 1:631 H ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-2302
Practice Address - Country:US
Practice Address - Phone:916-380-3685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN725454164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse