Provider Demographics
NPI:1710940184
Name:JONES, AMY DENISE (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:DENISE
Last Name:JONES
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:DENISE
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 BMH PHYSICIANS OFFICE BLDG
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5904
Mailing Address - Country:US
Mailing Address - Phone:865-546-1642
Mailing Address - Fax:833-396-2528
Practice Address - Street 1:270 BMH PHYSICIANS OFFICE BLDG
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5904
Practice Address - Country:US
Practice Address - Phone:865-546-1642
Practice Address - Fax:833-396-2528
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7428363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN7428OtherADVANCED NURSING
TNRN110871OtherNURSING LICENSE