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NPI Code Detail

MEDICARE: MRS. ROSLYN RUTH JONES CANP

MEDICARE: MRS. ROSLYN RUTH JONES CANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner7143TN
2363LA2200XAdult Health Nurse Practitioner7143TN

General Provider Information

NPI Number : 1184687485
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSLYN RUTH JONES CANP
Provider Business Mailing Address
First Line : 1604 CROCKETT HILLS BLVD
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-7330
Country : US
Telephone Number : 703-409-9821
Fax Number :
Provider Business Practice Location Address
First Line : 2531 ELM HILL PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3154
Country : US
Telephone Number : 615-883-6995
Fax Number : 615-883-3473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2006
Last Update Date : 03/28/2017

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