Healthcare Provider Details

I. General information

NPI: 1356891782
Provider Name (Legal Business Name): DAWN JONES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN DILLMAN

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 CHAMBERLIN AVE
FRANKFORT KY
40601-4220
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 502-234-5250
  • Fax: 502-699-6987
Mailing address:
  • Phone: 606-330-7835
  • Fax: 502-699-6987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA2148
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: