Healthcare Provider Details

I. General information

NPI: 1538925862
Provider Name (Legal Business Name): ELIZABETH JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CAMPUS BLVD STE 100
WINCHESTER VA
22601-6906
US

IV. Provider business mailing address

1408 WESTERN LN
FRONT ROYAL VA
22630-4497
US

V. Phone/Fax

Practice location:
  • Phone: 540-662-1108
  • Fax: 540-450-2244
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0001290633
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: