Provider Demographics
NPI:1184687485
Name:JONES, ROSLYN RUTH (CANP)
Entity Type:Individual
Prefix:MRS
First Name:ROSLYN
Middle Name:RUTH
Last Name:JONES
Suffix:
Gender:F
Credentials:CANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 CROCKETT HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7330
Mailing Address - Country:US
Mailing Address - Phone:703-409-9821
Mailing Address - Fax:
Practice Address - Street 1:2531 ELM HILL PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3154
Practice Address - Country:US
Practice Address - Phone:615-883-6995
Practice Address - Fax:615-883-3473
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7143363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health