=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649986035
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATELYN MARIE JONES APRN, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2023
-----------------------------------------------------
Last Update Date | 03/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 301 SEVEN SPRINGS WAY STE 250
-----------------------------------------------------
City | BRENTWOOD
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37027-4550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-527-4700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5828 SOUTHERN HILLS DR
-----------------------------------------------------
City | BAXTER
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38544-2903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 931-319-4125
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 33324
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------