Provider Demographics
NPI:1760749295
Name:JONES, MARSHON COREY (NP)
Entity Type:Individual
Prefix:
First Name:MARSHON
Middle Name:COREY
Last Name:JONES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6825 S GALENA ST
Mailing Address - Street 2:SUITE 314
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3729
Mailing Address - Country:US
Mailing Address - Phone:303-790-2225
Mailing Address - Fax:877-283-6521
Practice Address - Street 1:6825 S GALENA ST
Practice Address - Street 2:SUITE 314
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3729
Practice Address - Country:US
Practice Address - Phone:303-790-2225
Practice Address - Fax:877-283-6521
Is Sole Proprietor?:No
Enumeration Date:2012-04-22
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0178373363L00000X
COAPN.0990368-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner