Individual
MICHELLE B JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, HOSPITALIST DEPARTMENT, LOUISVILLE, KY 40202-1886
(502) 569-7983
(502) 589-4989
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 569-7983
(502) 589-4989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2149
KY
363A00000X
Physician Assistant
TC505
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015600
—
IN
05
—
7100439930
—
KY
Enumeration date
09/12/2016
Last updated
04/27/2020
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