Provider Demographics
NPI:1174160014
Name:JONES, MONEISHA (PHLEBOTOMIST)
Entity type:Individual
Prefix:MS
First Name:MONEISHA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:MISS
Other - First Name:MONEISHA
Other - Middle Name:SHAUNTAE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MONEISHA WHITE
Mailing Address - Street 1:288 HEMPHILL SCHOOL RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-1624
Mailing Address - Country:US
Mailing Address - Phone:470-445-8772
Mailing Address - Fax:
Practice Address - Street 1:288 HEMPHILL SCHOOL RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-1624
Practice Address - Country:US
Practice Address - Phone:470-445-8772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1011-6981246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy