Provider Demographics
NPI:1184467425
Name:JONES, D'SHUAN LAMAR (CPNP)
Entity type:Individual
Prefix:
First Name:D'SHUAN
Middle Name:LAMAR
Last Name:JONES
Suffix:
Gender:M
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SWANHOLME DR APT H305
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-1548
Mailing Address - Country:US
Mailing Address - Phone:615-934-9290
Mailing Address - Fax:
Practice Address - Street 1:475 SWANHOLME DR APT H305
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-1548
Practice Address - Country:US
Practice Address - Phone:615-934-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN202427278363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty