Provider Demographics
NPI:1386465615
Name:JONES, SHERITA SHERELL (APRN)
Entity type:Individual
Prefix:
First Name:SHERITA
Middle Name:SHERELL
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 1:4112 GEORGE BUCHANAN DR
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-3396
Mailing Address - Country:US
Mailing Address - Phone:615-243-2917
Mailing Address - Fax:
Practice Address - Street 1:4112 GEORGE BUCHANAN DR
Practice Address - Street 2:
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-3396
Practice Address - Country:US
Practice Address - Phone:615-243-2917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-19
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37390363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health