Shannon M Jones, BS

Individual provider Active NPI Case Manager/Care Coordinator · Bristol, TN

NPI 1083828693 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1083828693
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
266 North St
Bristol, TN 37620-1660
Phone
(423) 989-4558
Fax
(423) 989-4585
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health Past Accepting new patients
Frontier Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

266 North St
Bristol, TN 37620-1660

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600

Other providers in Bristol, TN

All providers in Bristol, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.