Provider Demographics
NPI:1265155329
Name:JONES, CAITLIN (FNP)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6312 US-41 ALT
Mailing Address - Street 2:#108
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37146
Mailing Address - Country:US
Mailing Address - Phone:615-271-9445
Mailing Address - Fax:615-746-6095
Practice Address - Street 1:6312 US-41 ALT
Practice Address - Street 2:#108
Practice Address - City:PLEASANT VIEW
Practice Address - State:TN
Practice Address - Zip Code:37146
Practice Address - Country:US
Practice Address - Phone:615-271-9445
Practice Address - Fax:615-746-6095
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN257276163W00000X
TN32407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse