Healthcare Provider Details

I. General information

NPI: 1467009837
Provider Name (Legal Business Name): NATALIE JEANNE JONES PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9998 ALLPOINTS PKWY
PLAINFIELD IN
46168-5903
US

IV. Provider business mailing address

1380 HENLEY RD
RICHMOND IN
47374-7135
US

V. Phone/Fax

Practice location:
  • Phone: 877-286-9809
  • Fax: 414-622-3853
Mailing address:
  • Phone: 765-914-7446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10002722A
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: