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NPI Code Detail

MEDICARE: MRS. DORINDA JONES

MEDICARE: MRS. DORINDA JONES
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
1363LF0000XFamily Nurse PractitionerAPN0000014843TN

General Provider Information

NPI Number : 1598075558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DORINDA JONES
Provider Business Mailing Address
First Line : PO BOX 2246
Second Line :
City : MEMPHIS
State : TN
Zip : 38101-2246
Country : US
Telephone Number : 901-821-0338
Fax Number : 901-821-0384
Provider Business Practice Location Address
First Line : 4100 AUSTIN PEAY HWY
Second Line :
City : MEMPHIS
State : TN
Zip : 38128-2502
Country : US
Telephone Number : 901-213-5460
Fax Number : 901-213-5439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2010
Last Update Date : 02/19/2018

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Directions to “ MRS. DORINDA JONES ” Practice Location

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