Provider Demographics
NPI:1821024639
Name:JONES, CINDY K (CFNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:K
Last Name:JONES
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:K
Other - Last Name:SHERRILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:426 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-1914
Mailing Address - Country:US
Mailing Address - Phone:731-989-2174
Mailing Address - Fax:731-645-5195
Practice Address - Street 1:270 E COURT AVE
Practice Address - Street 2:
Practice Address - City:SELMER
Practice Address - State:TN
Practice Address - Zip Code:38375-2304
Practice Address - Country:US
Practice Address - Phone:731-645-7932
Practice Address - Fax:731-645-5195
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN60768163W00000X
TNAPN5800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
S51712Medicare UPIN
500021301Medicare ID - Type UnspecifiedRAILROAD MEDICARE
TN3342941Medicare ID - Type UnspecifiedHENDERSON
TN3342940Medicare ID - Type UnspecifiedSELMER
TN3342943Medicare ID - Type UnspecifiedADAMSVILLE