Provider Demographics
NPI:1518779560
Name:JONES, JEANIE (PA-C)
Entity type:Individual
Prefix:
First Name:JEANIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 HAYDEN RD
Mailing Address - Street 2:
Mailing Address - City:MUIR
Mailing Address - State:MI
Mailing Address - Zip Code:48860-9767
Mailing Address - Country:US
Mailing Address - Phone:517-994-8385
Mailing Address - Fax:
Practice Address - Street 1:1044 HAYDEN RD
Practice Address - Street 2:
Practice Address - City:MUIR
Practice Address - State:MI
Practice Address - Zip Code:48860-9767
Practice Address - Country:US
Practice Address - Phone:517-732-8877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical