Provider Demographics
NPI:1972608149
Name:KATHERINE W. JONES, MD, PLC
Entity type:Organization
Organization Name:KATHERINE W. JONES, MD, PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:W
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-773-2712
Mailing Address - Street 1:2025 N MOUNT JULIET RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122
Mailing Address - Country:US
Mailing Address - Phone:615-773-2712
Mailing Address - Fax:615-773-2707
Practice Address - Street 1:2025 N MOUNT JULIET RD
Practice Address - Street 2:SUITE 120
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3316
Practice Address - Country:US
Practice Address - Phone:615-773-2712
Practice Address - Fax:615-773-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3709374Medicaid
TN3709374Medicare PIN