Provider Demographics
NPI:1053842757
Name:JONES, LENDIA F
Entity Type:Individual
Prefix:
First Name:LENDIA
Middle Name:F
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LENDIA
Other - Middle Name:F
Other - Last Name:TATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4398 DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-8445
Mailing Address - Country:US
Mailing Address - Phone:901-240-4775
Mailing Address - Fax:
Practice Address - Street 1:4398 DUNCAN RD
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-8445
Practice Address - Country:US
Practice Address - Phone:901-240-4775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide