Provider Demographics
NPI:1528009669
Name:JONES, WESLEY EARL (MD)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:EARL
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1264 WESLEY DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-6400
Mailing Address - Country:US
Mailing Address - Phone:901-398-9574
Mailing Address - Fax:901-398-9581
Practice Address - Street 1:1264 WESLEY DR
Practice Address - Street 2:SUITE 303
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-6400
Practice Address - Country:US
Practice Address - Phone:901-398-9574
Practice Address - Fax:901-398-9581
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD11607207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3184592Medicaid
TN3184592Medicaid
TNB04140Medicare UPIN