Judy L. Jones, Family Nurse Practitioner, LLC
Organization Active NPI Family Nurse Practitioner · Waynesboro, TN
NPI 1457593485 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1457593485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- JUDY L. JONES, FAMILY NURSE PRACTITIONER, LLC
- Practice address
- 530 Highway 64 E Ste 4
Waynesboro, TN 38485-3050 - Phone
- (931) 722-7722
- Fax
- (931) 722-7725
- NPI assigned
- Apr 6, 2009
- Organization subpart
- No
Authorized official
- Name
- Judy Lynn Jones, APN
- Title
- Nurse Practitioner / Owner
- Phone
- (931) 722-7722
Practitioners 5
-
Judy Lynn Jones, FNP
-
Jordan Matthew Clayton, NP-C
-
Leslie Ann Deberry, NP-C
-
Amy B Mitchell, AGPCNP-BC
-
Daniel S Shaw, ACNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200731001615 | TN | Part B Supplier - Clinic/Group Practice | 1759706112 |
Receives reassigned benefits from 5 practitioners Practice locations: Waynesboro, TN |
National Provider Directory
Locations
530 Highway 64 E
Ste 4
Waynesboro, TN 38485
Phone (931) 722-7722
530 Highway 64 E
Ste 2
Waynesboro, TN 38485
Phone (931) 722-7722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
530 Highway 64 E Ste 4
Waynesboro, TN 38485-3050
Mailing address
530 Highway 64 E Ste 4
Waynesboro, TN 38485-3050
Phone (931) 722-7722
Other providers in Waynesboro, TN
- Carol Johnson
- Candice Suzanne Johnston
- Judy Lynn Jones
- Barbara Jordahl
- Joseph B Tarpy
- Miranda Kapsalis
- KCP Company LLC
- Danelle S Kern
- Kirk L. Pyle
- Hubert Ernest Langley
All providers in Waynesboro, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.