Lisa Rena Jones, RN

Individual provider Active NPI Community Health Registered Nurse · Decatur, TN

NPI 1891459244 · NPPES record last updated Oct 22, 2021

Key facts

NPI
1891459244
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
0000198836 (TN)
Practice address
389 River Rd
Decatur, TN 37322-7801
Phone
(423) 334-5185
NPI assigned
Oct 22, 2021
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0000198836TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 0000198836 TN Yes

Addresses

Primary practice location

389 River Rd
Decatur, TN 37322-7801

Mailing address

1129 Red Hill Valley Rd SE
Cleveland, TN 37323-9185
Phone (423) 584-5208

Other providers in Decatur, TN

All providers in Decatur, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.