Provider Demographics
NPI:1265428338
Name:JONES, CYNTHIA L (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 317
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37121-0317
Mailing Address - Country:US
Mailing Address - Phone:615-867-1955
Mailing Address - Fax:615-754-1852
Practice Address - Street 1:6104 FREEMANTLE CT
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-7593
Practice Address - Country:US
Practice Address - Phone:615-867-1955
Practice Address - Fax:615-754-1852
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP8498363LF0000X
TNAPN0000010739363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily