MEDICARE: MRS. KATHERINE W JONES MD

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
1	207Q00000X	Family Medicine Physician	MD027810	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427023605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE W JONES MD

Provider Business Mailing Address
First Line	:	2025 N MOUNT JULIET RD
Second Line	:	SUITE 120
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-3316
Country	:	US
Telephone Number	:	615-773-2712
Fax Number	:	615-773-2707

Provider Business Practice Location Address
First Line	:	2025 N MOUNT JULIET RD
Second Line	:	SUITE 120
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-3316
Country	:	US
Telephone Number	:	615-773-2712
Fax Number	:	615-773-2707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	04/20/2017

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