Provider Demographics
NPI:1861294308
Name:KARANDJEFF, JAMIE MYRANDA JONES
Entity type:Individual
Prefix:
First Name:JAMIE MYRANDA
Middle Name:JONES
Last Name:KARANDJEFF
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 APLIN BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:COTTONTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37048-9243
Mailing Address - Country:US
Mailing Address - Phone:408-624-2085
Mailing Address - Fax:
Practice Address - Street 1:575 SAGE RD N STE 103
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-1508
Practice Address - Country:US
Practice Address - Phone:408-624-2085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach