Healthcare Provider Details

I. General information

NPI: 1154347714
Provider Name (Legal Business Name): THE JONES CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 DOCTORS DR
NEW ALBANY MS
38652-3109
US

IV. Provider business mailing address

7710 WOLF RIVER CIR
GERMANTOWN TN
38138-1734
US

V. Phone/Fax

Practice location:
  • Phone: 662-538-5526
  • Fax: 662-534-2882
Mailing address:
  • Phone: 901-685-5969
  • Fax: 901-685-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER R HATFIELD
Title or Position: BILLING MANAGER
Credential:
Phone: 901-685-5969