Provider Demographics
NPI:1073576393
Name:JONES, ARMENTHRY ZSHVETTA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMENTHRY
Middle Name:ZSHVETTA
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 JORDAN RD
Mailing Address - Street 2:STE 200
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4495
Mailing Address - Country:US
Mailing Address - Phone:615-614-8404
Mailing Address - Fax:615-614-8425
Practice Address - Street 1:910 MADISON AVE STE 900
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-1525
Practice Address - Country:US
Practice Address - Phone:901-448-5630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3307207Q00000X
TN34191207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR03090023600OtherQUALCHOICE
AR146524001Medicaid
MO207538604Medicaid
ARP00006588OtherRAILROAD MEDICARE
TNQ010127Medicaid
AR146524001Medicaid
ARP00006588OtherRAILROAD MEDICARE