Individual
JESSE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6563 STAGE OAKS DR, SUITE 101, BARTLETT, TN 38134-2886
(901) 937-5234
(901) 937-5237
Mailing address
1000 E 3RD ST, SUITE 100, CHATTANOOGA, TN 37403-2106
(423) 622-0500
(423) 622-0564
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
843
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3680008
—
TN
Enumeration date
07/12/2007
Last updated
12/30/2008
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