Individual
JENNY B. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 127045 APN 801
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3928809
—
TN
01
—
TN0116
JOHN DEERE HEALTHCARE
TN
Enumeration date
09/20/2005
Last updated
11/05/2013
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