Provider Demographics
NPI:1639152176
Name:JONES, ERNEST J (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:J
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:414 E BROAD ST
Mailing Address - Street 2:SMITH COUNTY HEALTH DEPT
Mailing Address - City:SMITHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37166-1815
Mailing Address - Country:US
Mailing Address - Phone:615-597-4432
Mailing Address - Fax:615-597-4434
Practice Address - Street 1:414 E BROAD ST
Practice Address - Street 2:SMITH COUNTY HEALTH DEPT
Practice Address - City:SMITHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37166-1815
Practice Address - Country:US
Practice Address - Phone:615-735-0242
Practice Address - Fax:615-735-8250
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN27451207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3099565Medicare ID - Type Unspecified
D40298Medicare UPIN