Healthcare Provider Details

I. General information

NPI: 1316234172
Provider Name (Legal Business Name): COURTNEY MICHELLE JONES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 N BROADWAY
CORTEZ CO
81321-2002
US

IV. Provider business mailing address

512 N BROADWAY
CORTEZ CO
81321-2002
US

V. Phone/Fax

Practice location:
  • Phone: 970-565-4400
  • Fax: 970-514-8051
Mailing address:
  • Phone: 970-565-4400
  • Fax: 970-514-8051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number51881
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCDRH.0065543
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME 118967
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: