Basic Information
| Provider Information | |||||||||
| NPI: | 1336247626 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | KARYN | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1612 NORTH MAIN STREET | ||||||||
| Address2: | SUITE B | ||||||||
| City: | SHELBYVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371602610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9316852022 | ||||||||
| FaxNumber: | 9316854158 | ||||||||
| Practice Location | |||||||||
| Address1: | 1612 NORTH MAIN STREET | ||||||||
| Address2: | SUITE B | ||||||||
| City: | SHELBYVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371602610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9316852022 | ||||||||
| FaxNumber: | 9316854158 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 09/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APN11682 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.