Leslie Jones, PA-C
Individual provider Active NPI Physician Assistant · Bozeman, MT
NPI 1720021629 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720021629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 229 (MT)
- Practice address
- 300 N Willson Ave
Suite 3001a
Bozeman, MT 59715-3551 - Phone
- (406) 587-6165
- Fax
- (406) 587-0985
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| SCL Health Montana | Past | Accepting new patients | |
| SCL Health Montana | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 229 | MT | Yes |
Addresses
Primary practice location
300 N Willson Ave
Suite 3001a
Bozeman, MT 59715-3551
Mailing address
300 N Willson Ave
Suite 3001a
Bozeman, MT 59715-3551
Phone (406) 587-6165
Other providers in Bozeman, MT
- Holcomb Middlebrook Johnston
- Meghan Johnston
- Rebekah D. Johnston
- David Joly
- Gwendolyn Ailive Jones
- Michael C Jones
- Renae Jones
- Shannon Elizabeth Jones
- Ellerey Jorgensen
- Joseph Purkett Speech Therapy Services Inc
All providers in Bozeman, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.