Healthcare Provider Details

I. General information

NPI: 1588293351
Provider Name (Legal Business Name): JAIME L JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE L JONES FITCH

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 NE SAINT MARK CT
PEORIA IL
61603-3717
US

IV. Provider business mailing address

400 NE SAINT MARK CT
PEORIA IL
61603-3717
US

V. Phone/Fax

Practice location:
  • Phone: 309-655-3800
  • Fax: 309-308-3935
Mailing address:
  • Phone: 309-655-3800
  • Fax: 309-308-3935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number72875
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036181126
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: