Individual
KATIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
322 BEARD CREEK RD, EDWARDS, CO 81632-6433
(970) 476-2451
Mailing address
PO BOX 40000, VAIL, CO 81658-7520
(970) 476-2451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN29302
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122921400
—
WI
05
—
4306729
—
MT
Enumeration date
11/16/2005
Last updated
11/12/2021
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