Provider Demographics
NPI:1336247626
Name:JONES, KARYN ELIZABETH (NP)
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:ELIZABETH
Last Name:JONES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 NORTH MAIN STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-2610
Mailing Address - Country:US
Mailing Address - Phone:931-685-2022
Mailing Address - Fax:931-685-4158
Practice Address - Street 1:1612 NORTH MAIN STREET
Practice Address - Street 2:SUITE B
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2610
Practice Address - Country:US
Practice Address - Phone:931-685-2022
Practice Address - Fax:931-685-4158
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN11682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily