Provider Demographics
NPI:1467009837
Name:JONES, NATALIE JEANNE (PA)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:JEANNE
Last Name:JONES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 HENLEY RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-7135
Mailing Address - Country:US
Mailing Address - Phone:765-914-7446
Mailing Address - Fax:
Practice Address - Street 1:9998 ALLPOINTS PKWY
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-5903
Practice Address - Country:US
Practice Address - Phone:877-286-9809
Practice Address - Fax:414-622-3853
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10002722A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant