Basic Information
Provider Information
NPI: 1386001683
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: KATHERINE
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 4 ALLEGHENY CTR FL 4
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152125255
CountryCode: US
TelephoneNumber: 4123305015
FaxNumber: 4123305522
Practice Location
Address1: 901 HARRY S TRUMAN DR N
Address2:  
City: UPPER MARLBORO
State: MD
PostalCode: 207745477
CountryCode: US
TelephoneNumber: 2406773000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/19/2016
LastUpdateDate: 10/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XC06182MDY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363A00000XMA057759PAN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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