Deanielle Coillisha Jones
Home Health Aide in Forrest City, AR. Individual provider (NPI-1).
NPI number1780396929
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1780396929
- Entity type
- Individual (NPI-1)
- Name
- Ms. Deanielle Coillisha Jones
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2022
- Certification date
- Dec 19, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
445 Short StForrest City, AR 72335-2852
Phone 940-390-0968
Mailing address
445 Short StForrest City, AR 72335-2852
Phone 940-390-0968
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