Basic Information
| Provider Information | |||||||||
| NPI: | 1881924074 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | MARY | ||||||||
| MiddleName: | ANNETTE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4660 B. DORRIS RD | ||||||||
| Address2: | |||||||||
| City: | CROSS PLAINS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370494700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154200135 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 710 HART LN | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372431405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6156507000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2010 | ||||||||
| LastUpdateDate: | 06/16/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN0000158808 | TN | Y | Nursing Service Providers | Registered Nurse |
No ID Information.