MEDICARE: MARQUITA LESHAWN 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
1	363LF0000X	Family Nurse Practitioner	33908	TN

General Provider Information

NPI Number	:	1710650171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUITA LESHAWN JONES

Provider Business Mailing Address
First Line	:	741 PRESIDENT PL STE 210
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6809
Country	:	US
Telephone Number	:	615-625-7780
Fax Number	:	615-625-7781

Provider Business Practice Location Address
First Line	:	741 PRESIDENT PL STE 210
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6809
Country	:	US
Telephone Number	:	615-625-7780
Fax Number	:	615-625-7781

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

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	10/30/2025

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Directions to “ MARQUITA LESHAWN JONES ” Practice Location

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