Individual
ELAINA MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5114 N GLEN PARK PLACE RD, PEORIA, IL 61614-4686
(309) 683-8100
Mailing address
5114 N GLEN PARK PLACE RD, PEORIA, IL 61614-4686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2020
Last updated
07/18/2022
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