Provider Demographics
NPI:1912506551
Name:JONES, ANNA SIMPSON (NP)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:SIMPSON
Last Name:JONES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:SIMPSON
Other - Last Name:DUKART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1042 E 3RD ST STE 103
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2161
Mailing Address - Country:US
Mailing Address - Phone:423-624-4846
Mailing Address - Fax:423-624-4847
Practice Address - Street 1:1042 E 3RD ST STE 103
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2161
Practice Address - Country:US
Practice Address - Phone:423-624-4846
Practice Address - Fax:423-624-4847
Is Sole Proprietor?:No
Enumeration Date:2020-10-24
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28345363LP2300X
TN28435363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care