Healthcare Provider Details

I. General information

NPI: 1841127727
Provider Name (Legal Business Name): JEREMY BRIAN JONES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 PANORAMA DR STE 105
CHATTANOOGA TN
37421-4771
US

IV. Provider business mailing address

8616 BLUEBERRY LN
OOLTEWAH TN
37363-9251
US

V. Phone/Fax

Practice location:
  • Phone: 423-760-4404
  • Fax:
Mailing address:
  • Phone: 423-505-2717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number841
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: