Healthcare Provider Details
I. General information
NPI: 1508260019
Provider Name (Legal Business Name): LAURRI JONES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/13/2014
Last Update Date: 11/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
225 S UNION BLVD 2ND FLOOR
COLORADO SPRINGS CO
80910-3184
US
IV. Provider business mailing address
PO BOX 110429
AURORA CO
80042-0429
US
V. Phone/Fax
- Phone: 719-632-5700
- Fax:
- Phone: 303-493-7000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 990684 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | APN.0990684-NP |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: