Provider Demographics
NPI:1972387769
Name:JONES-PURDY, PATRICIA RENA (DNP, APRN, PMHNP)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:RENA
Last Name:JONES-PURDY
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3157 HIGHWAY 64 STE 100
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-3326
Mailing Address - Country:US
Mailing Address - Phone:901-466-6544
Mailing Address - Fax:404-500-0663
Practice Address - Street 1:3157 HIGHWAY 64 STE 100
Practice Address - Street 2:
Practice Address - City:EADS
Practice Address - State:TN
Practice Address - Zip Code:38028-3326
Practice Address - Country:US
Practice Address - Phone:901-466-6544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34521363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health