Individual
MS. LESLEY ANN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2012 BROOKSIDE DR, STE 6, KINGSPORT, TN 37660-4645
(423) 247-0462
(423) 247-0465
Mailing address
2012 BROOKSIDE DRIVE, STE 6, KINGSPORT, TN 37660-4645
(423) 247-0462
(423) 247-0465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101049268
VA
207Q00000X
Family Medicine Physician
35148
NC
207Q00000X
Family Medicine Physician
Primary
MD0000024370
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00325400
ANTHEM BCBS
—
01
—
3108307
BCBS OF TN
TN
05
—
3108307
—
TN
Enumeration date
12/04/2006
Last updated
07/08/2007
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