MEDICARE: DR. SHERYL DENISE JONES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	034274	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1619159704	OTHER		BUSINESS NPI

General Provider Information

NPI Number	:	1871604181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERYL DENISE JONES M.D.

Provider Business Mailing Address
First Line	:	2714 UNION AVENUE EXT STE 610
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-4436
Country	:	US
Telephone Number	:	901-323-6800
Fax Number	:	901-323-6888

Provider Business Practice Location Address
First Line	:	2714 UNION AVENUE EXT STE 610
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-4436
Country	:	US
Telephone Number	:	901-323-6800
Fax Number	:	901-323-6888

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/05/2009

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