Provider Demographics
NPI:1841663150
Name:JONES, JENNIFER MARIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:MEURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:157 SHELTER ROCK RD
Mailing Address - Street 2:UNIT 20
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7051
Mailing Address - Country:US
Mailing Address - Phone:845-661-7688
Mailing Address - Fax:
Practice Address - Street 1:157 SHELTER ROCK RD
Practice Address - Street 2:UNIT 20
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7051
Practice Address - Country:US
Practice Address - Phone:845-661-7688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003394363A00000X
NY019052-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant