Healthcare Provider Details

I. General information

NPI: 1255648085
Provider Name (Legal Business Name): LINDSAY M JONES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2010
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TANKER RD
CORAOPOLIS PA
15108-4805
US

IV. Provider business mailing address

3 SAINT FRANCIS WAY
CRANBERRY TOWNSHIP PA
16066-5122
US

V. Phone/Fax

Practice location:
  • Phone: 412-776-7670
  • Fax:
Mailing address:
  • Phone: 724-772-5342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number1094569
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA054584
License Number StatePA

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: