Provider Demographics
NPI:1790165454
Name:JONES, JOCELYN GERIE (PA-C)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:GERIE
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 1:4950 NORTON HEALTHCARE BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2847
Mailing Address - Country:US
Mailing Address - Phone:502-425-5556
Mailing Address - Fax:502-425-5655
Practice Address - Street 1:4950 NORTON HEALTHCARE BLVD STE 209
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2847
Practice Address - Country:US
Practice Address - Phone:502-425-5556
Practice Address - Fax:502-425-5655
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA1999363A00000X
363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical