Provider Demographics
NPI:1427023605
Name:JONES, KATHERINE W (MD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:W
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
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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:37122-3316
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2017-04-20
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Provider Licenses
StateLicense IDTaxonomies
TNMD027810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3801035Medicaid
TNG28379Medicare UPIN
TN3801035Medicaid