MEDICARE: COURTNEY SHAUNTRELL JONES

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	363L00000X	Nurse Practitioner	360162	NY

General Provider Information

NPI Number	:	1780517151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY SHAUNTRELL JONES

Provider Business Mailing Address
First Line	:	32 RUSPIN AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14215-3336
Country	:	US
Telephone Number	:	716-444-7001
Fax Number	:

Provider Business Practice Location Address
First Line	:	3495 BAILEY AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14215-1129
Country	:	US
Telephone Number	:	716-444-7001
Fax Number	:

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

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/09/2026

Similar Medicare Providers

1174163299 — RACHEL PARUTA LCSW
Practice Location Address:

3495 BAILEY AVE
BUFFALO, NY
14215-1129

Practice Phone: 716-862-7250
Practice Fax:

1659377968 — DEBORAH LYNN FAROLINO MD
Practice Location Address:

3495 BAILEY AVE
BUFFALO, NY
14215-1129

Practice Phone: 716-834-9200
Practice Fax:

1164412938 — MR. MICHAEL RUDZINSKI PA; R.PH.
Practice Location Address:

3495 BAILEY AVE
BUFFALO, NY
14215-1129

Practice Phone: 716-862-6060
Practice Fax:

1447231741 — BRADFORD PERHAM MERSEREAU
Practice Location Address:

3495 BAILEY AVE , PRIMARY CARE GROUP 2
BUFFALO, NY
14215-1129

Practice Phone: 716-862-3641
Practice Fax:

1679558860 — MR. RUSSELL CLARENCE TALMA PA-C
Practice Location Address:

3495 BAILEY AVE , VA MEDICAL CENTER. DEPT OF SURGERY
BUFFALO, NY
14215-1129

Practice Phone: 716-862-8500
Practice Fax: 716-862-8600

1639154818 — MS. DEBORAH ANN MACIOLEK P.A.
Practice Location Address:

3495 BAILEY AVE
BUFFALO, NY
14215-1129

Practice Phone: 716-862-6063
Practice Fax: 716-862-8600

Directions to “ COURTNEY SHAUNTRELL JONES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.