Provider Demographics
NPI:1306239991
Name:JONES, NEBRASKA (APRN)
Entity type:Individual
Prefix:
First Name:NEBRASKA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CADILLAC DRIVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5355
Mailing Address - Country:US
Mailing Address - Phone:615-690-1941
Mailing Address - Fax:615-690-3941
Practice Address - Street 1:3470 HIGHWAY 80 W
Practice Address - Street 2:
Practice Address - City:EMMALENA
Practice Address - State:KY
Practice Address - Zip Code:41740-8854
Practice Address - Country:US
Practice Address - Phone:606-785-9377
Practice Address - Fax:606-785-9371
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009109163WP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health