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NPI Code Detail

MEDICARE: KATHERINE W. JONES, MD, PLC

MEDICARE: KATHERINE W. JONES, MD, PLC
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
1207Q00000XFamily Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1972608149
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATHERINE W. JONES, MD, PLC
Provider Business Mailing Address
First Line : 2025 N MOUNT JULIET RD
Second Line : SUITE 120
City : MOUNT JULIET
State : TN
Zip : 37122
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 : OWNER
Name : MRS. KATHERINE W JONES
Credential : MD
Telephone Number : 615-773-2712
Provider Enumeration Date : 09/13/2006
Last Update Date : 11/07/2012

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