Provider Demographics
NPI:1992181358
Name:JONES, COURTNEY ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:JONES
Other - Last Name:BOWLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:304 PLANTATION PT
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-5558
Mailing Address - Country:US
Mailing Address - Phone:864-321-0955
Mailing Address - Fax:
Practice Address - Street 1:2120 ASHLAND ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2418
Practice Address - Country:US
Practice Address - Phone:713-864-2659
Practice Address - Fax:713-864-5579
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA17511363AM0700X
GA7666363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical