Basic Information
| Provider Information | |||||||||
| NPI: | 1073576393 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | ARMENTHRY | ||||||||
| MiddleName: | ZSHVETTA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 JORDAN RD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | FRANKLIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370674495 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6156148404 | ||||||||
| FaxNumber: | 6156148425 | ||||||||
| Practice Location | |||||||||
| Address1: | 910 MADISON AVE STE 900 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381631525 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9014485630 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2006 | ||||||||
| LastUpdateDate: | 10/09/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | E3307 | AR | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 34191 | TN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 03090023600 | 01 | AR | QUALCHOICE | OTHER | 146524001 | 05 | AR | MEDICAID | 207538604 | 05 | MO | MEDICAID | P00006588 | 01 | AR | RAILROAD MEDICARE | OTHER | Q010127 | 05 | TN | MEDICAID |