Individual
MARY JANE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1068 CRESTHAVEN RD, SUITE 150, MEMPHIS, TN 38119-0800
(901) 682-6828
(901) 682-9316
Mailing address
PO BOX 171181, SUITE 905 B, MEMPHIS, TN 38187-1181
(901) 682-2872
(901) 682-9316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12658
TN
367500000X
Certified Registered Nurse Anesthetist
901869
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3600018
—
TN
05
—
3624005
—
TN
01
—
4155048
BLUE CROSS
TN
Enumeration date
10/12/2006
Last updated
02/10/2026
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