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NPI Code Detail

MEDICARE: MR. DANIEL C JONES PA-C

MEDICARE: MR. DANIEL C JONES PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9120107FL
2363A00000XPhysician Assistant1107TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24072278OTHERBCBST

General Provider Information

NPI Number : 1942205570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL C JONES PA-C
Provider Business Mailing Address
First Line : 12201 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2361
Country : US
Telephone Number : 502-568-7366
Fax Number : 502-568-7114
Provider Business Practice Location Address
First Line : 919 MEDICAL PARK DR
Second Line :
City : MOUNTAIN CITY
State : TN
Zip : 37683-1042
Country : US
Telephone Number : 423-727-7800
Fax Number : 423-727-2498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/16/2025

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