Healthcare Provider Details

I. General information

NPI: 1225174394
Provider Name (Legal Business Name): JONA M ELY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JONA M KOHPAY NP

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 RUSSELL ST
CRAIG CO
81625-1920
US

IV. Provider business mailing address

100 PIONEERS MEDICAL CENTER DR
MEEKER CO
81641-3181
US

V. Phone/Fax

Practice location:
  • Phone: 970-826-0911
  • Fax: 970-826-0910
Mailing address:
  • Phone: 970-878-5047
  • Fax: 970-878-3285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberPMH02260032
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number101247
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: