Healthcare Provider Details

I. General information

NPI: 1407797715
Provider Name (Legal Business Name): JACQUELINE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 MAIN STREET
BAILEY CO
80421
US

IV. Provider business mailing address

44 YEW LN
BAILEY CO
80421-1842
US

V. Phone/Fax

Practice location:
  • Phone: 720-679-8294
  • Fax: 720-861-2930
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1001563-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: