Individual
MRS. KIMBERLY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 112406
TN
367500000X
Certified Registered Nurse Anesthetist
28562
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 10513
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125664
—
MS
05
—
148163701
—
AR
05
—
3631540
—
TN
01
—
4033444
BLUE CROSS
TN
01
—
430079151
RAILROAD MEDICARE
TN
01
—
98216
BLUE CROSS
AR
Enumeration date
05/16/2006
Last updated
06/12/2024
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