Provider Demographics
NPI:1184269557
Name:JONES, LINDA S
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 BRIERWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-2946
Mailing Address - Country:US
Mailing Address - Phone:804-461-9659
Mailing Address - Fax:
Practice Address - Street 1:2913 BRIERWOOD ROAD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-2946
Practice Address - Country:US
Practice Address - Phone:804-461-1687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-09
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH527582347C00000X, 172A00000X
VAULV9187343900000X
VAFLRISHN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
Yes172A00000XOther Service ProvidersDriver