Provider Demographics
NPI:1942686746
Name:JONES, EMILY MEGAN (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MEGAN
Last Name:JONES
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:MEGAN
Other - Last Name:ROBERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACNP
Mailing Address - Street 1:2680 PISGAH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-7321
Mailing Address - Country:US
Mailing Address - Phone:931-205-3448
Mailing Address - Fax:
Practice Address - Street 1:1410 TROTWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4901
Practice Address - Country:US
Practice Address - Phone:931-388-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20195363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology