Healthcare Provider Details

I. General information

NPI: 1063328615
Provider Name (Legal Business Name): NORMA A JONES CEO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5636 OLD HICKORY BLVD APT 642
HERMITAGE TN
37076-3293
US

IV. Provider business mailing address

5636 OLD HICKORY BLVD APT 642
HERMITAGE TN
37076-3293
US

V. Phone/Fax

Practice location:
  • Phone: 901-215-7545
  • Fax:
Mailing address:
  • Phone: 901-215-7545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number260369
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: