Individual
MRS. JENNIFER LYNNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, SUITE 305, LOUISVILLE, KY 40202-1882
(502) 585-4321
(502) 566-6338
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 585-4321
(502) 566-6338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1067
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100101780
—
KY
01
—
P01566963
RAILROAD MEDICARE (KOHMG)
KY
Enumeration date
09/06/2007
Last updated
03/04/2016
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