Individual
MS. RENEE SHANTEL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
205 BUSINESS PARK DR, SUITE 104, VIRGINIA BEACH, VA 23462-6535
(757) 422-5502
(757) 455-8055
Mailing address
149 RICHARD SHAW RD, MOYOCK, NC 27958-8625
(252) 435-6055
(757) 455-8055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
210378
RI
163WL0100X
Lactation Consultant (Registered Nurse)
10926412
VA
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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