Provider Demographics
NPI:1437972965
Name:SCRIVEN JONES, LAVENIA MARIE
Entity type:Individual
Prefix:
First Name:LAVENIA
Middle Name:MARIE
Last Name:SCRIVEN 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 1:1992 WYNHURST XING
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-4241
Mailing Address - Country:US
Mailing Address - Phone:678-873-9771
Mailing Address - Fax:
Practice Address - Street 1:1992 WYNHURST XING
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-4241
Practice Address - Country:US
Practice Address - Phone:678-873-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant