Individual
STEPHANIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10436 PISGAH FOREST LN, CORDOVA, TN 38016-5424
(901) 570-1001
Mailing address
10436 PISGAH FOREST LN, CORDOVA, TN 38016-5424
(901) 570-1001
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
091823713
TN
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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