Provider Demographics
NPI:1295082311
Name:JONES, CAITLIN
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
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 1:724 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4140
Mailing Address - Country:US
Mailing Address - Phone:615-308-4980
Mailing Address - Fax:
Practice Address - Street 1:163 BUSINESS PARK DR
Practice Address - Street 2:STE 11
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-1241
Practice Address - Country:US
Practice Address - Phone:615-443-4445
Practice Address - Fax:615-443-4448
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5248174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist