Individual
MRS. SANDRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
122004
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126643
—
MS
05
—
1132951
—
LA
05
—
3349739
—
TN
Enumeration date
12/23/2005
Last updated
04/20/2016
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