Healthcare Provider Details

I. General information

NPI: 1285308239
Provider Name (Legal Business Name): CARMEN MELISSA GERARDE JONES PMHNP, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1389 VOLUNTEER PKWY
BRISTOL TN
37620-5709
US

IV. Provider business mailing address

115 W PINE ST APT 1
JOHNSON CITY TN
37604-6892
US

V. Phone/Fax

Practice location:
  • Phone: 423-444-0848
  • Fax: 423-523-0848
Mailing address:
  • Phone: 423-737-2718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number29977
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: