Provider Demographics
NPI:1467199836
Name:JONES, SHANNON PALMER (MD)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:PALMER
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 PROFESSIONAL PLZ
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-1900
Mailing Address - Country:US
Mailing Address - Phone:662-323-0999
Mailing Address - Fax:662-338-1191
Practice Address - Street 1:5 PROFESSIONAL PLZ
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-1900
Practice Address - Country:US
Practice Address - Phone:662-323-0999
Practice Address - Fax:662-338-1191
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS35005208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics