Provider Demographics
NPI:1205325552
Name:JONES, CHERRYL E
Entity type:Individual
Prefix:
First Name:CHERRYL
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8785 STABLEMILL LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-6177
Mailing Address - Country:US
Mailing Address - Phone:901-833-9946
Mailing Address - Fax:901-744-7583
Practice Address - Street 1:8785 STABLEMILL LN
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-6177
Practice Address - Country:US
Practice Address - Phone:901-833-9946
Practice Address - Fax:901-744-7583
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000020870376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker