MEDICARE: MRS. EMILY ROWLAND JONES RDH

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	124Q00000X	Dental Hygienist	0000008459	TN

General Provider Information

NPI Number	:	1871208298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY ROWLAND JONES RDH

Provider Business Mailing Address
First Line	:	1020 CROSSWINDS CV
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-8619
Country	:	US
Telephone Number	:	901-860-8720
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 W POPLAR AVE
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-2540
Country	:	US
Telephone Number	:	901-853-2520
Fax Number	:

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

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	01/19/2023

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