Provider Demographics
NPI:1386372795
Name:JONES, MORGAN LINDER (DC)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:LINDER
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:M
Other - Last Name:LINDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4220 VALLEY RIDGE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32081-5173
Mailing Address - Country:US
Mailing Address - Phone:904-217-0361
Mailing Address - Fax:
Practice Address - Street 1:4220 VALLEY RIDGE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32081-5173
Practice Address - Country:US
Practice Address - Phone:904-217-0361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14088111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty