Individual
KASHANA LATRICE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1673 N ROYAL ST, JACKSON, TN 38301
(731) 265-1997
Mailing address
1673 N ROYAL ST, JACKSON, TN 38301-3607
(731) 265-1997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
902953
MS
Other
Enumeration date
09/13/2018
Last updated
10/15/2018
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