Provider Demographics
NPI:1215015706
Name:JONES, AARON A (CRNA)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:A
Last Name:JONES
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 10TH ST E
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-4552
Mailing Address - Country:US
Mailing Address - Phone:952-442-9770
Mailing Address - Fax:952-442-3620
Practice Address - Street 1:100 W 4TH ST STE 100
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2473
Practice Address - Country:US
Practice Address - Phone:931-526-8115
Practice Address - Fax:952-442-3620
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC02690367500000X
TNAPN9933367500000X
TNRN99854163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR4011794OtherBLUE CROSS/BLUE SHIELD TN
AR4011794OtherBLUE CROSS/BLUE SHIELD TN
TN3627493Medicare PIN