Provider Demographics
NPI:1497720486
Name:JONES, JANE LYNDALL (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:LYNDALL
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LYNDY
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4450 S RURAL RD
Mailing Address - Street 2:C-216
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7037
Mailing Address - Country:US
Mailing Address - Phone:480-820-3188
Mailing Address - Fax:480-838-5033
Practice Address - Street 1:4450 S RURAL RD
Practice Address - Street 2:C-216
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7037
Practice Address - Country:US
Practice Address - Phone:480-820-3188
Practice Address - Fax:480-838-5033
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19096208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
5926009OtherHEALTH NET
84334OtherPACIFICARE
2780450OtherAHCCCS
AZAZ0867040OtherBLUE CROSS OF AZ
27780450OtherPHOENIX HEALTH PLAN
5926009OtherHEALTH NET