Individual provider · Type 1 NPI

Ethan Robert Jones, PA-C

Medical Physician Assistant · Fort Wayne, IN

NPI number 1205659059 Active

Practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Call (260) 436-8686 Map

Mailing address

335 Long Bow Ct
Valparaiso, IN 46383-8308

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1205659059

Ethan Robert Jones, PA-C's National Provider Identifier is 1205659059, issued on Oct 31, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 31, 2024.