Individual
JESSICA NICHOLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1505 W ELK AVE STE 1, ELIZABETHTON, TN 37643-2848
(423) 543-7919
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67648
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q058357
—
TN
Enumeration date
03/30/2020
Last updated
01/18/2024
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