MEDICARE: DR. HEATHER LYNN JONES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD28503	OR
2	2084P0800X	Psychiatry Physician	A89846	CA
3	2084P0804X	Child & Adolescent Psychiatry Physician	MD28503	OR
4	2084P0804X	Child & Adolescent Psychiatry Physician	DR0066639	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396941894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER LYNN JONES M.D.

Provider Business Mailing Address
First Line	:	100 ARAPAHOE AVE
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80302-5854
Country	:	US
Telephone Number	:	720-515-2404
Fax Number	:	720-791-0459

Provider Business Practice Location Address
First Line	:	100 ARAPAHOE AVE STE 12
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80302-5862
Country	:	US
Telephone Number	:	720-515-2404
Fax Number	:	720-791-0459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	02/18/2022

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Directions to “ DR. HEATHER LYNN JONES M.D.” Practice Location

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