Provider Demographics
NPI:1700689171
Name:JONES, JAIME LYNNE (PA-C)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:LYNNE
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 1:400 HOLIDAY CT STE 101
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-4349
Mailing Address - Country:US
Mailing Address - Phone:540-779-0001
Mailing Address - Fax:
Practice Address - Street 1:400 HOLIDAY CT STE 101
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-4349
Practice Address - Country:US
Practice Address - Phone:540-779-0001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110001821363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant