Healthcare Provider Details

I. General information

NPI: 1013811553
Provider Name (Legal Business Name): MRS. MANDY JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1101 EDGAR ST
YORK PA
17403-2862
US

IV. Provider business mailing address

1101 EDGAR ST
YORK PA
17403-2862
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-1545
  • Fax: 717-851-1515
Mailing address:
  • Phone: 717-851-1545
  • Fax: 717-851-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberRN613628
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: