Provider Demographics
NPI:1710650171
Name:JONES, MARQUITA LESHAWN
Entity type:Individual
Prefix:
First Name:MARQUITA
Middle Name:LESHAWN
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 1:741 PRESIDENT PL STE 210
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6809
Mailing Address - Country:US
Mailing Address - Phone:615-625-7780
Mailing Address - Fax:615-625-7781
Practice Address - Street 1:741 PRESIDENT PL STE 210
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6809
Practice Address - Country:US
Practice Address - Phone:615-625-7780
Practice Address - Fax:615-625-7781
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily