Provider Demographics
NPI:1043102684
Name:JONES, SHAINA LANA
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:LANA
Last Name:JONES
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 1:3635 MILL RUN CIR APT 1514
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-5068
Mailing Address - Country:US
Mailing Address - Phone:317-728-9536
Mailing Address - Fax:
Practice Address - Street 1:3635 MILL RUN CIR APT 1514
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-5068
Practice Address - Country:US
Practice Address - Phone:317-728-9536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN25-017354-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care