Healthcare Provider Details

I. General information

NPI: 1821024639
Provider Name (Legal Business Name): CINDY K JONES C.F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY K SHERRILL

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E COURT AVE
SELMER TN
38375-2304
US

IV. Provider business mailing address

426 WHITE AVE
HENDERSON TN
38340-1914
US

V. Phone/Fax

Practice location:
  • Phone: 731-645-7932
  • Fax: 731-645-5195
Mailing address:
  • Phone: 731-989-2174
  • Fax: 731-645-5195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN5800
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60768
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: