Madison T Jones

Individual provider Active NPI Speech-Language Pathologist · Blountville, TN

NPI 1245096494 · NPPES record last updated Feb 26, 2024

Key facts

NPI
1245096494
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2202011008 (VA)
Practice address
181 Dunlap Rd
Blountville, TN 37617-6333
Phone
(423) 323-7112
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2202011008VAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202011008 VA Yes

Addresses

Primary practice location

181 Dunlap Rd
Blountville, TN 37617-6333

Mailing address

181 Dunlap Rd
Blountville, TN 37617-6333

Other providers in Blountville, TN

All providers in Blountville, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.